Provider Demographics
NPI:1134717499
Name:HAYDEN, JORDAN ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:ANN
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JORDAN
Other - Middle Name:ANN
Other - Last Name:SCHECHTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 LARKIN ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2701
Mailing Address - Country:US
Mailing Address - Phone:203-969-4827
Mailing Address - Fax:
Practice Address - Street 1:428 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1233
Practice Address - Country:US
Practice Address - Phone:203-503-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5722101YP2500X
CT101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional