| Jordan Psychological Assessment Center Llc | |
|
6720 W 121st St Suite 101 Overland Park KS 66209-2002 | |
| (913) 647-7990 | |
| (913) 345-1933 |
| Full Name | Jordan Psychological Assessment Center Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6720 W 121st St, Overland Park, Kansas |
| Authorized Official Name and Position | Karen M Jordan (CEO) |
| Authorized Official Contact | 9136477990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Psychological Assessment Center Llc 6720 W 121st St Suite 101 Overland Park KS 66209-2002 Ph: (913) 647-7990 | Jordan Psychological Assessment Center Llc 6720 W 121st St Suite 101 Overland Park KS 66209-2002 Ph: (913) 647-7990 |
| NPI Number | 1093123390 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093123390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP 1647 (Kansas) | Primary |
| 103TC0700X | Psychologist - Clinical | 2007028983 (Missouri) | Secondary |
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