| 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 |
|---|---|
| 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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