Roseberry, Jarett Edward

Roseberry, Jarett Edward is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 400 , Coon Rapids MN 55433-2776. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Roseberry, Jarett Edward can be contacted via phone (763) 236-8911.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 400 Coon Rapids MN 55433-2776
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3438-57 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6148 Minnesota

Profile Details

NPI number 1093230088
LBN Legal business name Roseberry, Jarett Edward
Credentials PHD., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Mar 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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