Jennifer Ann Ullom in Maple Grove - Counseling
Jennifer Ann Ullom - NPI 1366643868
Jennifer Ann Ullom is a Counseling in Maple Grove, Minnesota. Jennifer Ann Ullom practices all healthcare services and medical treatments related to Counseling. The NPI Number for Jennifer Ann Ullom is 1366643868. The last update date is 2020-08-18.
Jennifer Ann Ullom's current location address is 7513 Inland Ln N, Maple Grove, Minnesota. You can contact this provider via phone number 6129985162. The mailing address for Jennifer Ann Ullom is 7513 Inland Ln N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ann Ullom |
|---|---|
| Address | 7513 Inland Ln N, Maple Grove, Minnesota |
| Phone Number | 6129985162 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LP |
NPI Number Detail
| NPI Number | 1366643868 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2020-08-18 |
Provider Mailing Address Detail
| Address | 7513 Inland Ln N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553113954 |
| Phone Number | 6129985162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | LP5067 |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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What is the unique 10-digit identification code assigned to Jennifer Ann Ullom by the Centers for Medicare & Medicaid Services?
The Jennifer Ann Ullom has been issued the NPI (National Provider Identifier) 1366643868, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jennifer Ann Ullom?
The Jennifer Ann Ullom is situated at 7513 Inland Ln N, in the city of Maple Grove, state of MN, with the zip code 553113954.
What is Jennifer Ann Ullom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Ann Ullom's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.
On what date was the 1366643868 assigned to Jennifer Ann Ullom?
The Jennifer Ann Ullom was issued its 1366643868 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jennifer Ann Ullom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Ann Ullom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-18.
NPI Number: 1548255375
Address: 167 N Spencer Rd, Spencer, MA