Judith V Jordan,Ph.D.,Pc

LBN: Judith V Jordan,Ph.D.,Pc
Judith V Jordan,Ph.D.,Pc is an health care organization with primary practice located at 114 Waltham St Suite 17, Lexington MA 02421-5415. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Judith V Jordan,Ph.D.,Pc can be contacted via phone (617) 855-2140, or through Jordan, Judith Victoria via phone (617) 855-2140.

Contact Information

Primary practice address
114 Waltham St Suite 17 Lexington MA 02421-5415
Phone: (617) 855-2140
Fax: (781) 860-9592
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Judith Victoria PH.D.
Phone: (617) 855-2140

Health care specialties

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

Profile Details

NPI number 1063660207
LBN Legal business name Judith V Jordan,Ph.D.,Pc
DBA Doing business as
Authorized official Jordan, Judith Victoria PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063660207 NPPES
Massachusetts Other W10450 BLUE CROSS BLUE SHIELD

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