Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mira Charlotte Jourdan, PHD

Individual provider Clinical Neuropsychologist · NPI 1902194806

Dr. Mira Charlotte Jourdan, PHD is a Clinical Neuropsychologist in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3361 36th St SE
Kentwood, MI 49512-2809
Phone: (616) 942-2522
Fax: (616) 956-3260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301014267 (MI)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 6301014267 (MI)

Record details

NPI number1902194806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 13, 2011
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

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