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Organization
JORDAN HART, PH.D., L.P., LLC
Active
Organization
JORDAN HART, PH.D., L.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN LYNN HART PH.D., L.P. (PSYCHOLOGIST)
(612) 414-3540
Entity
Organization
Contact information
Practice address
615 W 35TH ST, MINNEAPOLIS, MN 55408-4602
(612) 414-3540
(612) 823-8438
Mailing address
615 W 35TH ST, MINNEAPOLIS, MN 55408-4602
(612) 414-3540
(612) 823-8438
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LP 4313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108187
HEALTHPARTNERS HPFIN
MN
01
—
61-33379
UBH/MEDICA
MN
01
—
991N8HA
BCBS CLINIC PIN
MN
Enumeration date
11/07/2005
Last updated
08/22/2020
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