Individual
KERRI SHEAR JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
10560 WAYZATA BLVD, WOODSIDE OFFICE PARK, BLDG 2, SUITE 5, MINNETONKA, MN 55305-1524
(612) 598-0362
Mailing address
10560 WAYZATA BLVD STE 5, WOODSIDE OFFICE PARK, BLDG 2, MINNETONKA, MN 55305-1665
(612) 598-0362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3383
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP3383
MN
103TC1900X
Counseling Psychologist
Primary
LP3383
MN
Other
Enumeration date
08/31/2009
Last updated
02/20/2010
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