TRACI L JORDAN

MADISON, WI
NPI1205851995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  5154)
Additional Taxonomies103T00000X Psychologist
(Licence: AZ  005597)
103T00000X Psychologist
(Licence: CO  0006061)
103TC0700X Psychologist, Clinical
(Licence: TX  24625)
103TS0200X Psychologist, School
(Licence: TX  30404)
Enumeration Date2006-07-13
Last Update Date2024-08-06
Business Address
TRACI L JORDAN Psy.D., L.S.S.P.
1210 FOURIER DR STE 100
MADISON, WI 53717-1969
Phone number: 608-662-9327
Mailing Address
TRACI L JORDAN Psy.D., L.S.S.P.
7118 SPICE LEAF TRL
KATY, TX 77494-2010
Phone number: 361-232-0013