Organization
JORDAN HART, PH.D., L.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN LYNN HART PH.D., L.P. (PSYCHOLOGIST)
(612) 414-3540
Entity
Organization
Contact information
Practice address
615 W 35TH ST, MINNEAPOLIS, MN 55408-4602
(612) 414-3540
(612) 823-8438
Mailing address
615 W 35TH ST, MINNEAPOLIS, MN 55408-4602
(612) 414-3540
(612) 823-8438
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LP 4313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108187
HEALTHPARTNERS HPFIN
MN
01
—
61-33379
UBH/MEDICA
MN
01
—
991N8HA
BCBS CLINIC PIN
MN
Enumeration date
11/07/2005
Last updated
08/22/2020
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