Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUGUSTUS E. JORDAN, PH.D.
Active Sole ProprietorDR. AUGUSTUS E. JORDAN, PH.D. is a Counseling Psychologist healthcare provider located in MIDDLEBURY, Vermont. NPI 1639102551 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · MIDDLEBURY, VT
Registration Details
- NPI Number
- 1639102551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.075317237095 yrs)
- Last Updated
- Jul 8, 2007
- License
-
048-0000843 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 MAPLE STSUITE 202MIDDLEBURY, VT, 057531370Browse VT providers · Browse ZIP 05753
- Phone
- 8029891555
- Fax
- 8024432772
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Other Counseling Psychologist Providers in MIDDLEBURY, VT
| Name | Credential | NPI |
|---|---|---|
| MS. MARY LOUISE BREVDA | MA | 1871615062 |
| DOUGLAS SMITH | PSYCHOLOGIST MA | 1891110508 |
| MS. MICHELLE KACZYNSKI | — | 1235618661 |
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.