Individual
DR. JILLIAN NICOLE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP,
Contact information
Practice address
5100 GAMBLE DR STE 100, SAINT LOUIS PARK, MN 55416-1588
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-4516
(952) 541-2500
(952) 541-2539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5606
MN
Other
Enumeration date
02/17/2010
Last updated
11/20/2015
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