Gerald E. Jensen, Jr. in Baxter - Psychologist

Gerald E. Jensen, Jr. - NPI 1871596585

Gerald E. Jensen, Jr. is a Psychologist in Baxter, Minnesota. Gerald E. Jensen, Jr. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gerald E. Jensen, Jr. is 1871596585. The last update date is 2009-02-10.

Gerald E. Jensen, Jr.'s current location address is Po Box 2633, Baxter, Minnesota. You can contact this provider via phone number 2188223736 and fax number 2188223761. The mailing address for Gerald E. Jensen, Jr. is Po Box 2633, Baxter, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerald E. Jensen, Jr.
Address Po Box 2633, Baxter, Minnesota
Phone Number 2188223736
Fax Number 2188223761
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Jensen E. Jerry
Credentials MA, LP
Telephone Number 2188223736

NPI Number Detail

NPI Number 1871596585
Provider Enumeration Date 2005-05-27
Last Updated Date 2009-02-10

Provider Mailing Address Detail

Address Po Box 2633
City Baxter
State Minnesota (MN)
Post Code 5642526330
Phone Number 2188223736
Fax Number 2188223761

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP 4642
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
555519100 MN --

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FAQs about Gerald E. Jensen, Jr.

What is the Gerald E. Jensen, Jr.'s 1871596585?

The Gerald E. Jensen, Jr.'s NPI (National Provider Identifier) Number is 1871596585. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gerald E. Jensen, Jr.?

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

What is Gerald E. Jensen, Jr.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gerald E. Jensen, Jr. is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

On what date did Gerald E. Jensen, Jr. receive its 1871596585 assignment from the Centers for Medicare & Medicaid Services?

The Gerald E. Jensen, Jr. was assigned its 1871596585 on 2005-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gerald E. Jensen, Jr., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gerald E. Jensen, Jr., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-10.

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