Individual
JILLIAN FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2136 FORD PKWY # 8381, SAINT PAUL, MN 55116-2850
(612) 470-6560
Mailing address
2136 FORD PKWY # 8381, SAINT PAUL, MN 55116-2850
(612) 470-6560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
07/10/2023
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