Provider Demographics
NPI:1811501315
Name:MARTELL, JORDAN LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:LYNN
Last Name:MARTELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1083 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-1516
Mailing Address - Country:US
Mailing Address - Phone:970-702-3265
Mailing Address - Fax:
Practice Address - Street 1:8461 TURNPIKE DR STE 102
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4378
Practice Address - Country:US
Practice Address - Phone:855-626-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling