SUZANNE JOURDAN (NPI# 1770972622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770972622 |
| Entity Type | Individual |
| Full Name | SUZANNE JOURDAN |
| Other Name | SUZANNE PENZIEN |
| Credential | PH.D. |
| Practice Address |
107 Hunters Pointe Ct Clinton MS 39056-3148 |
| Practice Telephone | 6016685212 |
| Mailing Telephone | 6016685212 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30 435 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316478902 | Suzanne Jourdan | Speech-Language Pathologist | 418 S Weber St, Colorado Springs, CO 80903-2127 | 2017-03-24 |
| Street Address |
107 HUNTERS POINTE CT |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871993048 | Anita Craft | Psychologist | 119 Countrywood Cir, Clinton, MS 39056-5716 | 2014-08-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1407065519 | Pamela H. Gross | Psychologist | 1729 Dutch Valley Rd, Clinton, TN 37716-5116 | 2007-05-22 |
| 1578693396 | Laura Segal | Psychologist | 42 Main St Ste 7, Clinton, NJ 08809-2634 | 2007-03-07 |
| 1851430755 | Edward J Murphy | Psychologist | 10 Rupells Rd, Clinton, NJ 08809-1226 | 2007-02-06 |
| 1619074333 | Marsha F Morris | Psychologist | 6 Leigh St, Clinton, NJ 08809-1310 | 2006-09-17 |
| 1407952971 | Janet Marie Drew | Psychologist | 215 6th Ave S, Ste 25, Clinton, IA 52732-4338 | 2006-09-15 |
| 1366463143 | Jonathan David Wall | Psychologist | 27 Center St, Clinton, NJ 08809-1340 | 2006-07-21 |
| 1346294535 | A Michael Salinger | Psychologist | 135 S Washington St, Clinton, MO 64735-2033 | 2006-05-20 |
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on SUZANNE JOURDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.