IndividualActive
Jordan Mack
NPI 1356589873 · Rehabilitation Psychologist · Soper, OK
Provider details
- NPI number
- 1356589873
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Rr 1 Box 131
Soper, OK 74759-9632
Phone: (580) 317-5209
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 1 Box 131
Soper, OK 74759-9632
Registry dates
- Enumerated
- 2009-01-22
- Last updated
- 2009-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.