Michael Jordan's National Provider Identifier (NPI) Details
Michael Jordan, MSS, LCSW
NPI: 1962695338
Enumeration Date: 2007-08-20
Last updated: 2023-06-29
Sole Proprietor: YES
Status: active
Postal Address: 5429 VICARIS ST, PHILADELPHIA, PA
Phone: 267-581-1977
Primary Practice Address: 261 OLD YORK RD STE 318, JENKINTOWN, PA
Practice's phone: 215-885-3337