| Denee Lynn Jordan, PSYD | |
|
11950 Shoshone Ave, Granada Hills, CA 91344-2234 | |
| (805) 657-4269 | |
| Not Available |
| Full Name | Denee Lynn Jordan |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 11950 Shoshone Ave, Granada Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720254337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 21781 (California) | Primary |
| Entity Name | Pure Autism Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Denee Lynn Jordan, PSYD 11950 Shoshone Ave, Granada Hills, CA 91344-2234 Ph: (805) 657-4269 | Denee Lynn Jordan, PSYD 11950 Shoshone Ave, Granada Hills, CA 91344-2234 Ph: (805) 657-4269 |
Dr. Michael Alba, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2400 | |
Melissa Rios, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd Ste 100, Granada Hills, CA 91344 Phone: 818-832-2400 | |
Mr. Bennie Isaiah Harris, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16800 Devonshire St Ste 301, Granada Hills, CA 91344 Phone: 818-425-2261 | |
Dr. Victoria Latifses, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, #100, Granada Hills, CA 91344 Phone: 818-832-2400 Fax: 818-366-7234 | |
Ms. Maria Zavala, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Granada Hills, CA 91344 Phone: 818-448-5466 | |
Araksya Arutyunyan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16800 Devonshire St # Se215, Granada Hills, CA 91344 Phone: 818-271-4909 | |
Dr. Narcisso Flores-bassinger, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10515 Balboa Blvd Ste 370, Granada Hills, CA 91344 Phone: 818-488-3837 Fax: 818-360-8752 |