Gerald Edward Jensen in Baxter - Psychologist

Gerald Edward Jensen - NPI 1265435937

Gerald Edward Jensen is a Psychologist in Baxter, Minnesota. Gerald Edward Jensen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gerald Edward Jensen is 1265435937. The last update date is 2020-02-06.

Gerald Edward Jensen's current location address is Po Box 2633, Baxter, Minnesota. You can contact this provider via phone number 2188223736. The mailing address for Gerald Edward Jensen is Po Box 2633, Baxter, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Edward Jensen
Address Po Box 2633, Baxter, Minnesota
Phone Number 2188223736
Fax Number
Sole Proprietor Y
Credentials MA, LP

NPI Number Detail

NPI Number 1265435937
Provider Enumeration Date 2005-05-24
Last Updated Date 2020-02-06

Provider Mailing Address Detail

Address Po Box 2633
City Baxter
State Minnesota (MN)
Post Code 5642526330
Phone Number 2188223736
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP4642
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LP4642 MN MN PSYCHOLOGY LICENSE

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FAQs about Gerald Edward Jensen

What is the unique provider identifier assigned to Gerald Edward Jensen?

The Gerald Edward Jensen has been issued the NPI (National Provider Identifier) 1265435937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Gerald Edward Jensen?

The Gerald Edward Jensen is physically situated at Po Box 2633, in the city of Baxter, state of MN, with the postal code 5642526330.

What is the Gerald Edward Jensen's specialty and taxonomy code?

The Gerald Edward Jensen's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1265435937 to Gerald Edward Jensen?

The Centers for Medicare & Medicaid Services originally issued the 1265435937 to Gerald Edward Jensen on 2005-05-24.

When was the information regarding Gerald Edward Jensen most recently updated?

The details pertaining to the Gerald Edward Jensen, including its address, specialty, and other relevant information, were last refreshed on 2020-02-06.

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