Joan Marie Jastram PSYD

NPI 1699000182 - Psychologist - 103TC0700X

NPI Details
NPI 1699000182
Gender Female
Enumeration Date 10/16/2009
Last Updated 10/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
241 CLEVELAND AVE S
SUITE B1
SAINT PAUL MN, 55105-1208, US
Phone (651) 699-4133
Fax
Business Location
241 CLEVELAND AVE S
SUITE B1
SAINT PAUL MN, 55105-1208, US
Phone (651) 699-4133
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP5136
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According to our database, Dr. Joan Marie Jastram PSYD NPI is 1699000182, taxonomy code is 103TC0700X and license number is LP5136, license state is located at Minnesota. Joan Marie Jastram PSYD physically located at 241 Cleveland Ave S, Saint Paul MN, 55105-1208. NPI Number Joan Marie Jastram PSYD has the Individual type.

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1699000182 NPI number is provided on an as is basis without warranty of any kind. 1699000182 is maintained by the National Plan & Provider Enumeration System. The contents of Joan Marie Jastram PSYD are for informational purposes only.