Jordan, Judith Victoria

Jordan, Judith Victoria is an individual health care provider with primary practice located at 114 Waltham St Suite 17, Lexington MA 02421-5415. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jordan, Judith Victoria can be contacted via phone (617) 855-2149.

Contact Information

Primary practice address
114 Waltham St Suite 17 Lexington MA 02421-5415
Phone: (617) 855-2149
Fax: (781) 860-9592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1019 Massachusetts

Profile Details

NPI number 1952389116
LBN Legal business name Jordan, Judith Victoria
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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