Individual
DR. JILL RAVEN LEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
3525 MONTEREY DRIVE, PARK NICOLLET CLINIC MELROSE INSTITUTE, ST LOUIS PARK, MN 55416
(952) 993-6200
Mailing address
3525 MONTEREY DR, PARK NICOLLET CLINIC MELROSE INSTITUTE, ST LOUIS PARK, MN 55416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5283
MN
Other
Enumeration date
09/13/2010
Last updated
01/03/2013
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