Robert Herbert Jordan in Shreveport - Psychologist
Robert Herbert Jordan - NPI 1104937952
Robert Herbert Jordan is a Psychologist in Shreveport, Louisiana. Robert Herbert Jordan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Robert Herbert Jordan is 1104937952. The last update date is 2007-07-08.
Robert Herbert Jordan's current location address is 2047 Captain Shreve Dr, Shreveport, Louisiana. You can contact this provider via phone number 3188610167. The mailing address for Robert Herbert Jordan is 2047 Captain Shreve Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Herbert Jordan |
|---|---|
| Address | 2047 Captain Shreve Dr, Shreveport, Louisiana |
| Phone Number | 3188610167 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104937952 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2047 Captain Shreve Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711053819 |
| Phone Number | 3188610167 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 546 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Herbert Jordan by the Centers for Medicare & Medicaid Services?
The Robert Herbert Jordan has been assigned the NPI (National Provider Identifier) 1104937952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Robert Herbert Jordan?
The Robert Herbert Jordan is situated at 2047 Captain Shreve Dr, in the city of Shreveport, state of LA, with the zip code 711053819.
What is Robert Herbert Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Herbert Jordan is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Robert Herbert Jordan receive the assignment of its 1104937952 from the Centers for Medicare & Medicaid Services?
The Robert Herbert Jordan was issued its 1104937952 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information regarding Robert Herbert Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Herbert Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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