Spencer, Jared S

Spencer, Jared S is an individual health care provider with primary practice located at 16180 Hastings Ave Se Ste 205 , Prior Lake MN 55372-9228. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spencer, Jared S can be contacted via phone (952) 443-4600.

Contact Information

Primary practice address
16180 Hastings Ave Se Ste 205 Prior Lake MN 55372-9228
Phone: (952) 443-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6688 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.010179 Illinois

Profile Details

NPI number 1477199636
LBN Legal business name Spencer, Jared S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2019
Last updated Jul 7th, 2021 - about 3 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.

Request for update

Popular Providers