Ann Westcot Jordan, Ph.D.
Psychologist in Shorewood, IL. Individual provider (NPI-1).
NPI number1013462829
StatusActive
Last updated in NPPESAug 22, 2016
Details
- NPI
- 1013462829
- Entity type
- Individual (NPI-1)
- Name
- Ann Westcot Jordan
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2016
- Last updated
- Aug 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 071007284 | IL | Yes |
| 103G00000X | Clinical Neuropsychologist | 071007284 | IL |
Practice location
21037 Benjamin DrShorewood, IL 60404-0612
Phone 815-741-9631
Mailing address
21037 Benjamin DrShorewood, IL 60404-0612
Phone 815-741-9631
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