Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA MARIE EDLUND, PH.D
Active Sole ProprietorJENNA MARIE EDLUND, PH.D is a Child, Clinical Psychologist healthcare provider located in WACONIA, Minnesota. NPI 1164943601 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · WACONIA, MN
Registration Details
- NPI Number
- 1164943601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2017 (8.963076993996 yrs)
- Last Updated
- Nov 5, 2018
- Licenses
-
LP6329 (MN)LP6329 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9352 OAK AVEWACONIA, MN, 553879422Browse MN providers · Browse ZIP 55387
- Phone
- 9529554714
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
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.