Individual
DR. JILL C ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
1502 LONDON RD STE 102, DULUTH, MN 55812-1787
(218) 576-0187
(218) 576-0126
Mailing address
1 CHILDRENS PL, SUITE 3S32, SAINT LOUIS, MO 63110-1002
(314) 454-6069
(314) 454-4013
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP5905
MN
Other
Enumeration date
10/11/2007
Last updated
07/21/2022
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