Jennifer Born, Psy.D., Licensed Psychologist, Llc

LBN: Jennifer Born, Psy.D., Licensed Psychologist, Llc
Jennifer Born, Psy.D., Licensed Psychologist, Llc is an health care organization with primary practice located at 1595 Selby Ave Suite 106, Saint Paul MN 55104. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Jennifer Born, Psy.D., Licensed Psychologist, Llc can be contacted via phone (651) 600-2011, or through Born, Jennifer via phone (952) 250-1390.

Contact Information

Primary practice address
1595 Selby Ave Suite 106 Saint Paul MN 55104
Phone: (651) 600-2011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Born, Jennifer PSY.D., LP
Phone: (952) 250-1390

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP5098 Minnesota

Profile Details

NPI number 1881986065
LBN Legal business name Jennifer Born, Psy.D., Licensed Psychologist, Llc
DBA Doing business as
Authorized official Born, Jennifer PSY.D., LP
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2011
Last updated May 6th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881986065 NPPES
Minnesota MEDICAID 073645000

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