| NPI | 1205449907 |
|---|---|
| Former Legal Business Name | JORDAN DANN, PSYCHOANALYST, P.C. |
| Entity Type | Organization |
| Authorized Contact | JORDAN MACKSOUD DANN Psychoanalyst 970-618-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |