Individual
JENNIFER W KOPLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
(952) 443-4600
(952) 443-4604
Mailing address
PO BOX 51, VICTORIA, MN 55386-0051
(952) 443-4600
(952) 443-4604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3804-57
WI
103TC0700X
Clinical Psychologist
Primary
5992
MN
Other
Enumeration date
06/10/2014
Last updated
12/09/2020
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