Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JORDAN, PHD
ActiveKELLY JORDAN, PHD is a Health Service Psychologist healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1356826325 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1356826325
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2018 (7.9155321611577 yrs)
- Last Updated
- Sep 26, 2018
Practice Information
- Address
-
516 MISSION HOUSE LNNEW BRIGHTON, MN, 551122571Browse MN providers · Browse ZIP 55112
- Phone
- 6516365120
- Primary Specialty
-
Health Service Psychologist
103TH0100X
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.