Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BORDENAVE, PSYD, LP
ActiveJESSICA BORDENAVE, PSYD, LP is a Clinical Psychologist healthcare provider located in BLOOMINGTON, Minnesota. NPI 1023500113 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1023500113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2018 (8.1549058862258 yrs)
- Last Updated
- Nov 12, 2018
- Licenses
-
3557-57 (WI)6325 (MN)
Practice Information
- Address
-
1101 E 78TH ST STE 100BLOOMINGTON, MN, 554201402Browse MN providers · Browse ZIP 55420
- Phone
- 9528545034
- Fax
- 9528545363
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| DR. LISA SHARON SQUIRE | PH.D., L.P. | 1609872589 |
| DR. TIMOTHY J. MCCARTHY | PH.D. | 1972541704 |
| JANE STEWART ROZNOVSKY | PHD LP | 1144269028 |
| DR. ANN ELIZABETH LAYNE | PH.D. | 1679513394 |
| DR. MARY ELLEN CADY | PSY.D., L.P. | 1881624021 |
| MRS. HOINU THIRUMALAI BUNCE | PSY.D., LP | 1336151307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.