| Jsr Neuropsychological Services Pllc | |
|
3209 W 76th St Ste 207 Edina MN 55435-5246 | |
| (517) 614-3697 | |
| Not Available |
| Full Name | Jsr Neuropsychological Services Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3209 W 76th St Ste 207, Edina, Minnesota |
| Authorized Official Name and Position | Jordan S Robinson (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5176143697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsr Neuropsychological Services Pllc 3618 Woodcrest Cir Eagan MN 55123-1363 Ph: (517) 614-3697 | Jsr Neuropsychological Services Pllc 3209 W 76th St Ste 207 Edina MN 55435-5246 Ph: (517) 614-3697 |
| NPI Number | 1992302228 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Medicare PECOS PAC ID | 0840606190 |
|---|---|
| Medicare Enrollment ID | O20210310002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992302228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jordan Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437576840 PECOS PAC ID: 5395013064 Enrollment ID: I20210310002881 |
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