Jordan M Mack, - Psychologist in Soper, OK

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Jordan M Mack, is a Psychologist - Rehabilitation based in Soper, Oklahoma. Jordan M Mack is licensed to practice in * (Not Available) (license number ) and her current practice location is Rr 1 Box 131, Soper, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 317-5209.

NPI number for Jordan M Mack is 1356589873 and her current mailing address is Rr 1 Box 131, Soper, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356589873.

Contact Information

Jordan M Mack,
Rr 1 Box 131,
Soper, OK 74759-9632
(580) 317-5209
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJordan M Mack
GenderFemale
SpecialityPsychologist - Rehabilitation
LocationRr 1 Box 131, Soper, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356589873
  • Provider Enumeration Date: 01/22/2009
  • Last Update Date: 03/31/2009

Medical Identifiers

Medical identifiers for Jordan M Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356589873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan M Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan M Mack,
Rr 1 Box 131,
Soper, OK 74759-9632

Ph: (580) 317-5209		Jordan M Mack,
Rr 1 Box 131,
Soper, OK 74759-9632

Ph: (580) 317-5209

Reviews and Comments


Psychologist in Soper, OK


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