Organization
JENNIFER BORN, PSY.D., LICENSED PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BORN PSY.D., LP (OWNER)
(952) 250-1390
Entity
Organization
Contact information
Practice address
1595 SELBY AVE, SUITE 106, SAINT PAUL, MN 55104
(651) 600-2011
Mailing address
1595 SELBY AVE, SUITE 106, SAINT PAUL, MN 55104
(651) 600-2011
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5098
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073645000
—
MN
Enumeration date
05/06/2011
Last updated
05/06/2011
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