Individual
DR. ANNA JELBERT BOGESTAD SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
12301 WHITEWATER DR, STE 101, MINNETONKA, MN 55343-9447
(952) 999-6097
(952) 426-0508
Mailing address
12301 WHITEWATER DR, STE 101, MINNETONKA, MN 55343-9447
(952) 999-6097
(952) 426-0508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5293
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548444292
—
MN
Enumeration date
12/18/2007
Last updated
12/23/2016
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