Individual
HEIDI KAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2424 32ND AVE S, STE 202, GRAND FORKS, ND 58201-6545
(701) 746-6336
(701) 772-1030
Mailing address
2424 32ND AVE S, STE 202, GRAND FORKS, ND 58201-6545
(701) 746-6336
(701) 772-1030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
326
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10986
—
ND
05
—
1454859
—
ND
01
—
16349
PREFERRED ONE
ND
01
—
24742
BLUECROSSBLUESHIELD OF ND
ND
01
—
309K8JE
BLUECROSSBLUESHIELD OF MN
MN
01
—
61-93978
UBH (MEDICA)
ND
Enumeration date
10/04/2006
Last updated
01/25/2017
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