Individual
DR. JONATHAN LEE POQUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(612) 625-1500
Mailing address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(612) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6868
MN
103TC2200X
Clinical Child & Adolescent Psychologist
PY11126
FL
Other
Enumeration date
05/26/2021
Last updated
11/11/2025
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