NPI 1457673469

Jillian Nicole Simpson, PSYDLP

Practitioner Psychologist Saint Louis Park, MN

Practice location

Address: 5100 Gamble Dr STE 100, Saint Louis Park, MN 55416-1588
Phone: (952) 541-2500
Fax: (952) 541-2539
Mailing address: 8170 33rd Ave S Mail Stop 21110q, Bloomington, MN 55425-4516

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP5606 (MN)

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Registry record

NPI: 1457673469
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2010
Record last updated: 20 Nov 2015

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.