Judith V Jordan,ph.d.,pc | |
114 Waltham St Suite 17 Lexington MA 02421-5415 | |
(617) 855-2140 | |
(781) 860-9592 |
Full Name | Judith V Jordan,ph.d.,pc |
---|---|
Speciality | Psychologist |
Location | 114 Waltham St, Lexington, Massachusetts |
Authorized Official Name and Position | Judith Victoria Jordan (PSYCHOLOGIST) |
Authorized Official Contact | 6178552140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Judith V Jordan,ph.d.,pc 114 Waltham St Suite 17 Lexington MA 02421-5415 Ph: (617) 855-2140 | Judith V Jordan,ph.d.,pc 114 Waltham St Suite 17 Lexington MA 02421-5415 Ph: (617) 855-2140 |
NPI Number | 1063660207 |
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Provider Enumeration Date | 08/29/2008 |
Last Update Date | 08/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063660207 | NPI | - | NPPES |
W10450 | Other | MA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1019 (Massachusetts) | Primary |
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