Individual
DR. JORDAN LYNN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
5353 GAMBLE DR, SUITE 110, ST LOUIS PARK, MN 55416-1509
(763) 432-4071
(763) 432-4073
Mailing address
5353 GAMBLE DR, SUITE 110, ST LOUIS PARK, MN 55416-1509
(763) 432-4071
(763) 432-4073
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 4313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108187
HEALTHPARTNERS HPFIN
MN
01
—
472437200
MN MEDICAL ASSISTANCE
MN
01
—
61-33379
MEDICA/UBH
MN
01
—
991N9HA
BCBS INDIVIDUAL PIN
MN
Enumeration date
11/07/2005
Last updated
01/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us