Provider Demographics
NPI:1376100958
Name:DANN, JORDAN (MA CF-SLP)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:DANN
Suffix:
Gender:M
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 DEVON CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2284
Mailing Address - Country:US
Mailing Address - Phone:989-277-2997
Mailing Address - Fax:
Practice Address - Street 1:2681 INTERNATIONAL DR APT 1507B
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8510
Practice Address - Country:US
Practice Address - Phone:989-277-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist