Individual
JODI S ROGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3137 HENNEPIN AVENUE S., MINNEAPOLIS, MN 55408
(612) 827-0777
(612) 823-0167
Mailing address
3137 HENNEPIN AVENUE S., #202, MINNEAPOLIS, MN 55408
(612) 827-0777
(612) 823-0167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-68281
UNITED BEHAVIORAL HEALTH
MN
05
—
753817100
—
MN
Enumeration date
12/13/2006
Last updated
05/03/2010
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