Individual
JEANNIE SHAPRIO DOWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
2100 1ST AVE S, MINNEAPOLIS, MN 55404-2504
(612) 388-0481
Mailing address
2100 1ST AVE S, MINNEAPOLIS, MN 55404-2504
(612) 388-0481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9G010MO
BCBS GROUP
MN
Enumeration date
03/18/2007
Last updated
07/08/2007
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