Individual
DR. JASON ECKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LP
Contact information
Practice address
200 4TH AVE W, SUITE 300, SHAKOPEE, MN 55379-1220
(952) 496-8574
Mailing address
200 4TH AVE W, SUITE 300, SHAKOPEE, MN 55379-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5825
MN
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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