Whalio Doctors

NPI 1023559465

Jennifer Jane Anderson, PHD

Practitioner Psychologist St Louis Park, MN

Practice location

Address
2901 Princeton Ave, St Louis Park, MN 55416-1956
Phone
(952) 848-0140
Fax
(952) 848-0140

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP3525 (MN)

Registry record

NPI
1023559465
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Mar 2017
Record last updated
18 Mar 2017

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.