Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIRA CHARLOTTE JOURDAN, PHD
Active Sole ProprietorDR. MIRA CHARLOTTE JOURDAN, PHD is a Clinical Psychologist healthcare provider located in KENTWOOD, Michigan. NPI 1902194806 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · KENTWOOD, MI
Registration Details
- NPI Number
- 1902194806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2011 (15.077280233084 yrs)
- Last Updated
- Aug 25, 2021
- Licenses
-
6301014267 (MI)6301014267 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3361 36TH ST SEKENTWOOD, MI, 495122809Browse MI providers · Browse ZIP 49512
- Phone
- 6169422522
- Fax
- 6169563260
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in KENTWOOD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. SHARON GETZ | PSY.D. | 1467840991 |
| DR. ROGER LYNN ERICKSON | PH.D. | 1669829230 |
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.