Individual
JANICE L OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.
Contact information
Practice address
4535 WASHBURN AVE N, MINNEAPOLIS, MN 55412-1055
(612) 522-3945
(612) 522-5124
Mailing address
4535 WASHBURN AVE N, MINNEAPOLIS, MN 55412-1055
(612) 522-3945
(612) 522-5124
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP 3197
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60D83OS
BLUE CR/SHEILD PIN#
MN
01
—
LP 3194
LICENSED PSYCH. #
MN
Enumeration date
10/17/2006
Last updated
07/09/2007
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