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Individual

JENNIFER LYNN OSTERGAARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
200 UNIVERSITY AVE E, ST PAUL, MN 55101-2307
(651) 291-2848
Mailing address
200 UNIVERSITY AVE E, ST PAUL, MN 55101-2307
(651) 229-3841

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4698
MN
103TC2200X
Clinical Child & Adolescent Psychologist
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
602645000
MN
Enumeration date
05/12/2006
Last updated
11/02/2011
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