Individual
JACQUELINE MARIE HARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
415 BLAKE RD N STE 240, HOPKINS, MN 55343-8192
(952) 814-0207
(952) 938-8838
Mailing address
415 BLAKE RD N STE 240, HOPKINS, MN 55343-8192
(952) 814-0207
(952) 938-8838
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP5040
MN
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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