Dexter, Jacquline Libby

Dexter, Jacquline Libby is an sole proprietor health care provider with primary practice located at 3137 Hennepin Ave Ste 202 , Minneapolis MN 55408-2602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Dexter, Jacquline Libby can be contacted via phone (612) 827-0777.

Contact Information

Primary practice address
3137 Hennepin Ave Ste 202 Minneapolis MN 55408-2602
Phone: (612) 827-0777
Fax: (612) 827-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2837 Minnesota
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R083276 Minnesota

Profile Details

NPI number 1639183825
LBN Legal business name Dexter, Jacquline Libby
Credentials MSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Sep 25th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639183825 NPPES
Minnesota Other 8H854DE BLUE CROSS BLUE SHEILD

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