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JENNIFER BORN PSY.D. LICENSED PSYCHOLOGIST LLC NPI 1881986065


NPI Information

NPI: 1881986065
Provider Name: JENNIFER BORN, PSY.D., LICENSED PSYCHOLOGIST, LLC
Classification: Psychologist - 103TC1900X
Entity Type: Organization

Specialization: Counseling

Address:
1595 SELBY AVE
SUITE 106
SAINT PAUL, MN
ZIP 55104
Phone: (651) 600-2011
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JENNIFER BORN, PSY.D., LICENSED PSYCHOLOGIST, LLC is a counseling psychologist in Saint Paul, MN. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. JENNIFER BORN, PSY.D., LICENSED PSYCHOLOGIST, LLC NPI is 1881986065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1595 SELBY AVE
SUITE 106
SAINT PAUL, MN
ZIP 55104
Phone: (651) 600-2011

The provider's authorized official is Jennifer Born .
The authorized official title is Owner and has the following contact phone number (952) 250-1390.

The enumeration date for this NPI number is 5/6/2011 and was last updated on 5/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC1900XPsychologistCounselingLP5098MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1073645000MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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