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

Individual provider Clinical Psychologist · NPI 1962753442

Dr. Ryan Jeremy Jordan, PHD is a Clinical Psychologist in Patton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

3102 E Highland Avenue Medical Staff Ofc
Patton, CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 26100 (CA)
Psychologist Taxonomy 103T00000X

Record details

NPI number1962753442
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 25, 2012
Last updated in NPPESApril 9, 2015

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