ROBERT HERBERT JORDAN

SHREVEPORT, LA
NPI1104937952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: LA  546)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. ROBERT HERBERT JORDAN Ph.D.
510 E STONER AVE OVERTON BROOKS VA MEDICAL CENTER--116B
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6051
Mailing Address
Dr. ROBERT HERBERT JORDAN Ph.D.
2047 CAPTAIN SHREVE DR
SHREVEPORT, LA 71105-3819
Phone number: 318-861-0167
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