Jennifer Ann Ullom MA, LP

NPI 1366643868 - Psychologist - 103TC1900X

NPI Details
NPI 1366643868
Gender Female
Enumeration Date 05/30/2007
Last Updated 01/14/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
7301 CHMS LANE #430
EDINA MN, 55439-2376, US
Phone (612) 998-5162
Fax (952) 236-9623
Business Location
7301 CHMS LANE #430
EDINA MN, 55439-2376, US
Phone (612) 998-5162
Fax (952) 236-9623
Toxanomy
Taxonomy Code 103TC1900X
License State Minnesota
License Number LP5067
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According to our database, Mrs. Jennifer Ann Ullom MA, LP NPI is 1366643868, taxonomy code is 103TC1900X and license number is LP5067, license state is located at Minnesota. Jennifer Ann Ullom MA, LP physically located at 7301 Chms Lane #430, Edina MN, 55439-2376. NPI Number Jennifer Ann Ullom MA, LP has the Individual type.

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1366643868 NPI number is provided on an as is basis without warranty of any kind. 1366643868 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ann Ullom MA, LP are for informational purposes only.