| Stephen Jenkins Phd Abpp Lp Pllc | |
|
1411 W Saint Germain St Ste 105 Saint Cloud MN 56301-4180 | |
| (320) 253-3715 | |
| Not Available |
| Full Name | Stephen Jenkins Phd Abpp Lp Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1411 W Saint Germain St Ste 105, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Stephen Jenkins (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3202533715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Jenkins Phd Abpp Lp Pllc 1741 Oregon Trl Saint Cloud MN 56301-9164 Ph: (320) 309-8784 | Stephen Jenkins Phd Abpp Lp Pllc 1411 W Saint Germain St Ste 105 Saint Cloud MN 56301-4180 Ph: (320) 253-3715 |
| NPI Number | 1942870001 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942870001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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