Vought, Jeanette Laverne
Vought, Jeanette Laverne is an individual health care provider with primary practice located at 13911 Ridgedale Dr Ste 460 , Minnetonka MN 55305-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vought, Jeanette Laverne can be contacted via phone (651) 439-2059.Contact Information
Primary practice address
13911 Ridgedale Dr Ste 460
Minnetonka MN 55305-1777
Phone: (651) 439-2059
Fax: (888) 675-8262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3556 | Minnesota |
Profile Details
| NPI number | 1821034786 |
|---|---|
| LBN Legal business name | Vought, Jeanette Laverne |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Nov 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821034786 | NPPES |
| Minnesota | MEDICAID | 1821034786 |
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