Individual
DR. JASON LEE MAHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
18315 CASCADE DR, STE: 165, EDEN PRAIRIE, MN 55347-1180
(612) 695-0071
(952) 767-5087
Mailing address
18315 CASCADE DR., STE: 165, EDEN PRAIRIE, MN 55347
(612) 695-0071
(952) 767-5087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5600
MN
Other
Enumeration date
10/25/2010
Last updated
05/09/2016
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