Individual
DR. JASON TING LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
1501 28TH AVE NW, NEW BRIGHTON, MN 55112-1743
(651) 247-5720
Mailing address
1501 28TH AVE NW, NEW BRIGHTON, MN 55112-1743
(651) 247-5720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1534
MN
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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