Whalio Doctors

NPI 1013528207

Stephen Sean Jenkins, PHDABPP

Practitioner Clinical Psychologist Saint Cloud, MN

Practice location

Address
1400 W Saint Germain St STE 105, Saint Cloud, MN 56301-4101
Phone
(320) 253-3715
Mailing address
1411 W Saint Germain St STE 105, Saint Cloud, MN 56301-4180

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 4757 (MN)

Registry record

NPI
1013528207
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Aug 2020
Record last updated
27 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.