Doctor Name: | MR. THOMAS JORDAN |
NPI Number: | 1750564084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 300 Howard St Framingham, MA - 017028313 |
Business Phone Number: | 5088792250 |
Business Fax Number: | 5086202637 |
Mailing Address: | 8 Plain St, NATICK |
State: | MA |
Postal Code: | 017604848 |
Phone Number: | 5083333596 |
Fax Number: | 5086202637 |
NPI Enumeration Date: | 12/10/2007 |
NPI Last Update Date: | 12/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |