Individual
STEPHANIE M JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
7300 METRO BLVD STE 400, EDINA, MN 55439-2307
(612) 425-0094
Mailing address
2900 SALEM AVE, ST LOUIS PARK, MN 55416-1920
(612) 310-0955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6739
MN
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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