Phillips Jordan, Melissa Dawn

Phillips Jordan, Melissa Dawn is an sole proprietor health care provider with primary practice located at 1701 Pennsylvania Ave Nw , Washington DC 20006-5805. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips Jordan, Melissa Dawn can be contacted via phone (301) 875-5216.

Contact Information

Primary practice address
1701 Pennsylvania Ave Nw Washington DC 20006-5805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05118 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1000795 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019034 New York

Profile Details

NPI number 1659631935
LBN Legal business name Phillips Jordan, Melissa Dawn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2012
Last updated Jun 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers