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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417035551 NPPES
Minnesota Other 637K9SH BCBS
Minnesota Other HP66846 BCBS

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