Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN M MACK
ActiveJORDAN M MACK is a Rehabilitation Psychologist healthcare provider located in SOPER, Oklahoma. NPI 1356589873 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Psychologist · SOPER, OK
Registration Details
- NPI Number
- 1356589873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2009 (17.534801971987 yrs)
- Last Updated
- Mar 31, 2009
Practice Information
- Address
-
RR 1 BOX 131SOPER, OK, 747599632Browse OK providers · Browse ZIP 74759
- Phone
- 5803175209
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.