| Jordan Hart, Ph.d., L.p., Llc | |
|
615 W 35th St Minneapolis MN 55408-4602 | |
| (612) 414-3540 | |
| (612) 823-8438 |
| Full Name | Jordan Hart, Ph.d., L.p., Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 615 W 35th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jordan Lynn Hart (PSYCHOLOGIST) |
| Authorized Official Contact | 6124143540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Hart, Ph.d., L.p., Llc 615 W 35th St Minneapolis MN 55408-4602 Ph: (612) 414-3540 | Jordan Hart, Ph.d., L.p., Llc 615 W 35th St Minneapolis MN 55408-4602 Ph: (612) 414-3540 |
| NPI Number | 1427039692 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427039692 | NPI | - | NPPES |
| 991N8HA | Other | MN | BCBS CLINIC PIN |
| 108187 | Other | MN | HEALTHPARTNERS HPFIN |
| 61-33379 | Other | MN | UBH/MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP 4313 (Minnesota) | Primary |
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