Individual
MRS. JEANETTE LAVERNE VOUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
13911 RIDGEDALE DR STE 460, MINNETONKA, MN 55305-1777
(651) 439-2059
(888) 675-8262
Mailing address
588 101ST AVE N, NAPLES, FL 34108-3201
(651) 439-2059
(888) 675-8262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821034786
—
MN
Enumeration date
06/21/2006
Last updated
11/05/2020
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