Vought, Jeanette Laverne

Vought, Jeanette Laverne is an individual health care provider with primary practice located at 13911 Ridgedale Dr Ste 460 , Minnetonka MN 55305-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vought, Jeanette Laverne can be contacted via phone (651) 439-2059.

Contact Information

Primary practice address
13911 Ridgedale Dr Ste 460 Minnetonka MN 55305-1777
Fax: (888) 675-8262
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3556 Minnesota

Profile Details

NPI number 1821034786
LBN Legal business name Vought, Jeanette Laverne
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 5th, 2020 - about 5 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 1821034786 NPPES
Minnesota MEDICAID 1821034786

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