Search › Georgia › 103TC0700X
Juan Cordero, M.S., M.A., PSY.D
NPI 1831506476 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1061 Harmon Ave
Fort Stewart, GA 31314 - Phone
- (129) 435-7375
- Organisation at this address
- U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft StewartInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,112
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YP2500X
101YM0800X
103TC0700X - Licence states on file
- PR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia