Individual
DR. JESSICA ELEANOR RICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
Mailing address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6832
MN
Other
Enumeration date
08/18/2020
Last updated
09/15/2022
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