Stoltenberg, Jennifer

Stoltenberg, Jennifer is an individual health care provider with primary practice located at 2265 Como Ave , Saint Paul MN 55108-1737. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Stoltenberg, Jennifer can be contacted via phone (651) 645-5323.

Contact Information

Primary practice address
2265 Como Ave Saint Paul MN 55108-1737
Phone: (651) 645-5323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6336 Minnesota

Profile Details

NPI number 1558736694
LBN Legal business name Stoltenberg, Jennifer
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2015
Last updated Nov 28th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558736694 NPPES
Minnesota Other LJUXZ5625339 BLUE CROSS BLUE SHIELD

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