Individual
JONATHAN C. HOISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1821 UNIVERSITY AVE W STE 155, SAINT PAUL, MN 55104-2880
(612) 800-6500
(612) 800-6501
Mailing address
1821 UNIVERSITY AVE W STE 155, SAINT PAUL, MN 55104-2880
(612) 800-6500
(612) 800-6501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1535-057
WI
103T00000X
Psychologist
716
MN
103T00000X
Psychologist
Primary
LP1788
MN
Other
Enumeration date
08/20/2006
Last updated
12/02/2021
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