Whalio Doctors

NPI 1235296377

John Robert Jordan, PHD

Practitioner Clinical Psychologist Pawtucket, RI

Practice location

Address
10 Exchange CT Unit 401, Pawtucket, RI 02860-2261
Phone
(401) 305-3051
Fax
(401) 305-3051

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1936 (MA)

Registry record

NPI
1235296377
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jan 2007
Record last updated
7 Mar 2008

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.