Bordenave, Jessica

Bordenave, Jessica is an individual health care provider with primary practice located at 1101 E 78Th St Ste 100 , Bloomington MN 55420-1402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bordenave, Jessica can be contacted via phone (952) 854-5034.

Contact Information

Primary practice address
1101 E 78Th St Ste 100 Bloomington MN 55420-1402
Phone: (952) 854-5034
Fax: (952) 854-5363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3557-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6325 Minnesota

Profile Details

NPI number 1023500113
LBN Legal business name Bordenave, Jessica
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Nov 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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