Jordan Lynn Hart in St Louis Park - Clinical Child & Adolescent
Jordan Lynn Hart - NPI 1376524538
Jordan Lynn Hart is a Clinical Child & Adolescent in St Louis Park, Minnesota. Jordan Lynn Hart practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jordan Lynn Hart is 1376524538. The last update date is 2011-01-25.
Jordan Lynn Hart's current location address is 5353 Gamble Dr, St Louis Park, Minnesota. You can contact this provider via phone number 7634324071 and fax number 7634324073. The mailing address for Jordan Lynn Hart is 5353 Gamble Dr, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Lynn Hart |
|---|---|
| Address | 5353 Gamble Dr, St Louis Park, Minnesota |
| Phone Number | 7634324071 |
| Fax Number | 7634324073 |
| Sole Proprietor | Y |
| Credentials | PH.D., L.P |
NPI Number Detail
| NPI Number | 1376524538 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 5353 Gamble Dr |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554161509 |
| Phone Number | 7634324071 |
| Fax Number | 7634324073 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP 4313 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 472437200 | MN | MN MEDICAL ASSISTANCE | |
| 61-33379 | MN | MEDICA/UBH | |
| 991N9HA | MN | BCBS INDIVIDUAL PIN | |
| 108187 | MN | HEALTHPARTNERS HPFIN |
Post Comment/ Review Below
What is the unique identifier code issued to Jordan Lynn Hart by the Centers for Medicare & Medicaid Services (CMS)?
The Jordan Lynn Hart has been assigned the NPI (National Provider Identifier) 1376524538. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jordan Lynn Hart located?
The Jordan Lynn Hart is located at 5353 Gamble Dr, St Louis Park, MN 554161509.
What is Jordan Lynn Hart's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jordan Lynn Hart is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
When did the Jordan Lynn Hart receive its 1376524538?
The Jordan Lynn Hart was issued its 1376524538 on 2005-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jordan Lynn Hart last refreshed?
The information related to the Jordan Lynn Hart, including its address, specialty, and other relevant details, was last updated on 2011-01-25.