Individual
JENNIFER EHALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3200 HIGHWAY 100 S, SAINT LOUIS PARK, MN 55416-2175
(952) 920-6377
Mailing address
821 RAMSEY AVE, CARVER, MN 55315-4515
(612) 889-8894
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5623
MN
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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