Provider Demographics
NPI:1871529800
Name:GIORDANO, JO-ANN M (PHD)
Entity type:Individual
Prefix:DR
First Name:JO-ANN
Middle Name:M
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:407 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3523
Mailing Address - Country:US
Mailing Address - Phone:248-752-5234
Mailing Address - Fax:734-369-2029
Practice Address - Street 1:221 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2611
Practice Address - Country:US
Practice Address - Phone:248-545-9200
Practice Address - Fax:248-545-9210
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012534103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP16690010Medicare ID - Type UnspecifiedPSYCHOLOGIST