Whalio Doctors

NPI 1336238419

Jennifer Lynn Wigton, PHD

Practitioner Psychologist Saint Louis Park, MN

Practice location

Address
4500 Park Glen Rd Suite 151, Saint Louis Park, MN 55416-4871
Phone
(612) 723-0460
Fax
(952) 928-9774
Mailing address
5352 12th Ave S, Minneapolis, MN 55417-1837

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP4489 (MN)

Registry record

NPI
1336238419
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Oct 2006
Record last updated
8 Jul 2007

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.