Individual
DR. JENNIFER SUZANNE SCHWANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
1900 CENTRACARE CIRCLE, STE 2350, ST CLOUD, MN 56303
(320) 229-4918
(320) 229-5177
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733513000
—
MN
Enumeration date
05/11/2006
Last updated
05/24/2018
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