Joseph, Jennifer Lynn
Joseph, Jennifer Lynn is an individual health care provider with primary practice located at 3001 Broadway St Ne Suite 185, Minneapolis MN 55413-2195. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Joseph, Jennifer Lynn can be contacted via phone (612) 767-4224.Contact Information
Primary practice address
3001 Broadway St Ne Suite 185
Minneapolis MN 55413-2195
Phone: (612) 767-4224
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 4669 | Minnesota |
Profile Details
NPI number | 1417035551 |
---|---|
LBN Legal business name | Joseph, Jennifer Lynn |
Credentials | PSY.D., LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417035551 | NPPES |
Minnesota | Other | 637K9SH | BCBS |
Minnesota | Other | HP66846 | BCBS |
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