Organization
JEANETTE E TRUCHSESS PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE ELAINE TRUCHSESS PHD (PRESIDENT)
(651) 226-4704
Entity
Organization
Contact information
Practice address
348 PRIOR AVE N, ST PAUL, MN 55104-5187
(651) 226-4704
Mailing address
348 PRIOR AVE N, ST PAUL, MN 55104-5187
(651) 226-4704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6129933
UNITED BEHAVIORAL HEALTH
MN
01
—
9275525
BLUE CROSS
MN
Enumeration date
10/22/2007
Last updated
10/22/2007
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