Jennifer Jordan, PSYD Valid NPI
Individual provider · Clinical Psychologist · Eagle, ID
- NPI
- 1285947200
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY203711 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-07-19
- Last updated
- 2023-09-21
Practice location
1065 E Winding Creek Dr Ste 250
Eagle, ID 83616-7246
(208) 805-2324