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Individual
DR. JORDAN LYNN HART
Active
Individual
DR. JORDAN LYNN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 4313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108187
HEALTHPARTNERS HPFIN
MN
01
—
472437200
MN MEDICAL ASSISTANCE
MN
01
—
61-33379
MEDICA/UBH
MN
01
—
991N9HA
BCBS INDIVIDUAL PIN
MN
Enumeration date
11/07/2005
Last updated
01/25/2011
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