Ostergaard, Jennifer Lynn

Ostergaard, Jennifer Lynn is an individual health care provider with primary practice located at 200 University Ave E , St Paul MN 55101-2307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ostergaard, Jennifer Lynn can be contacted via phone (651) 291-2848.

Contact Information

Primary practice address
200 University Ave E St Paul MN 55101-2307
Phone: (651) 291-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4698 Minnesota

Profile Details

NPI number 1174573778
LBN Legal business name Ostergaard, Jennifer Lynn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 2nd, 2011 - about 14 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 1174573778 NPPES
Minnesota MEDICAID 602645000

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