Ann Westcot Jordan
Psychologist Clinical Psychologist
21037 Benjamin Dr
Shorewood
, Illinois 60404-0612
Ann Westcot Jordan
Psychologist Clinical Psychologist
21037 Benjamin Dr
Shorewood
, Illinois 60404-0612
(815) 741-9631
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
Languages spoken
- English
Location
First Address
- Ann Westcot Jordan
- 21037 Benjamin Dr
- Shorewood, IL
- Zip : 60404-0612
- Phone : (815) 741-9631
Second Address
- Ann Westcot Jordan
- 21037 Benjamin Dr
- Shorewood, IL
- Zip : 60404-0612
- Phone : (815) 741-9631
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 071007284 | IL |
| N | 103TC0700X | Clinical Psychologist | 071007284 | IL |
| Y | 102L00000X | Psychologist | 071007284 | IL |
| Y | 103T00000X | Psychologist | 071007284 | IL |
National Provider Identifier
| NPI | 1013462829 |
|---|---|
| Provider Name | Ann Westcot Jordan |
| First Address | Shorewood, IL 60404-0612 |
| Second Address | Shorewood, IL 60404-0612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2016 |
| Last Update Date | 22/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.