Individual
MS. JERI ANN MARIE MEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP MA
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3738
MN
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169309300
MEDICAL ASSISTANCE
MN
05
—
169309300
—
MN
Enumeration date
12/28/2006
Last updated
07/21/2022
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