Jordan M Mack
Rehabilitation Psychologist
Rr 1 Box 131
Soper
, Oklahoma 74759-9632
Jordan M Mack
Rehabilitation Psychologist
Rr 1 Box 131
Soper
, Oklahoma 74759-9632
(580) 317-5209
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Jordan M Mack
- Rr 1 Box 131
- Soper, OK
- Zip : 74759-9632
- Phone : (580) 317-5209
Second Address
- Jordan M Mack
- Rr 1 Box 131
- Soper, OK
- Zip : 74759-9632
- Phone : (580) 317-5209
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1356589873 |
|---|---|
| Provider Name | Jordan M Mack |
| First Address | Soper, OK 74759-9632 |
| Second Address | Soper, OK 74759-9632 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2009 |
| Last Update Date | 31/03/2009 |
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.