| Jennie Enstad Psy.d.,l.p. Psychological Services Llc | |
|
2006 1st Ave Ste 101 Anoka MN 55303-2255 | |
| (763) 355-4688 | |
| Not Available |
| Full Name | Jennie Enstad Psy.d.,l.p. Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2006 1st Ave Ste 101, Anoka, Minnesota |
| Authorized Official Name and Position | Jennifer Enstad (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7633554468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Enstad Psy.d.,l.p. Psychological Services Llc 17730 Gibbon St Nw Ramsey MN 55303-5510 Ph: (763) 355-4468 | Jennie Enstad Psy.d.,l.p. Psychological Services Llc 2006 1st Ave Ste 101 Anoka MN 55303-2255 Ph: (763) 355-4688 |
| NPI Number | 1831664937 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Medicare PECOS PAC ID | 1658616115 |
|---|---|
| Medicare Enrollment ID | O20190103000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831664937 | NPI | - | NPPES |
| 263653100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jennifer G Enstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093725467 PECOS PAC ID: 1254337918 Enrollment ID: I20061020000130 |
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