Wilson, Jennifer L

Wilson, Jennifer L is an individual health care provider with primary practice located at 11010 Prairie Lakes Dr Ste 350 , Eden Prairie MN 55344-3801. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wilson, Jennifer L can be contacted via phone (952) 746-2522.

Contact Information

Primary practice address
11010 Prairie Lakes Dr Ste 350 Eden Prairie MN 55344-3801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5857 Minnesota

Profile Details

NPI number 1124684600
LBN Legal business name Wilson, Jennifer L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2019
Last updated May 10th, 2019 - about 7 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.

Request for update

Popular Providers