Provider Demographics
NPI:1851512370
Name:SKURKA, JORDANA (PSYD)
Entity Type:Individual
Prefix:
First Name:JORDANA
Middle Name:
Last Name:SKURKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ASHFORD DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3631
Mailing Address - Country:US
Mailing Address - Phone:917-716-6664
Mailing Address - Fax:
Practice Address - Street 1:33 WITHERSPOON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-3207
Practice Address - Country:US
Practice Address - Phone:917-716-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical