Individual
DR. JENNIFER LYNN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
3001 BROADWAY ST NE, SUITE 185, MINNEAPOLIS, MN 55413-2195
(612) 767-4224
Mailing address
5762 213TH ST N, FOREST LAKE, MN 55025-9589
(651) 982-4903
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
4669
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
637K9SH
BCBS
MN
01
—
HP66846
HEALTH PARTNERS
MN
Enumeration date
11/02/2006
Last updated
07/08/2007
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