| Dr Jordan Michael Ellis, PHD | |
|
1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 | |
| (210) 292-5972 | |
| Not Available |
| Full Name | Dr Jordan Michael Ellis |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972167161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810007310 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Michael Ellis, PHD 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 Ph: () - | Dr Jordan Michael Ellis, PHD 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 Ph: (210) 292-5972 |
Dr. Laura Elizabeth Reardon, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 402-232-2273 | |
Dr. Mario George Nicolas, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jeanette C Santos, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5972 Fax: 210-292-5499 | |
Dr. Edny Joseph Bryant, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-7631 | |
Dr. Elizabeth Najera, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1602 | |
Dr. Chase Alan Aycock, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361 | |
Dr. Natalie Marie Roy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1602 |