NPI 1023659182

Theresa Ann Jordan, LPT

Practitioner Licensed Psychiatric Technician Sacramento, CA

Practice location

Address: 6950 65th St, Sacramento, CA 95823-2316
Phone: (916) 393-1222
Fax: (916) 393-4512
Mailing address: 530 Eastbrook Cir, Sacramento, CA 95835-1348

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence 41449 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1023659182
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2019
Record last updated: 30 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.