Individual
DR. JENNA DANIELE GUNNERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2900 THOMAS AVE S, MINNEAPOLIS, MN 55416-4477
(612) 863-5327
Mailing address
4716 KINGSDALE DR, BLOOMINGTON, MN 55437-1829
(612) 360-5959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
LP6745
MN
Other
Enumeration date
11/02/2021
Last updated
06/06/2024
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