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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER ANN ULLOM, MA, LP

Active Sole Proprietor

MRS. JENNIFER ANN ULLOM, MA, LP is a Counseling Psychologist healthcare provider located in WAYZATA, Minnesota. NPI 1366643868 is currently active in the NPPES registry. Verify at CMS.

Counseling Psychologist · WAYZATA, MN

Registration Details

NPI Number
1366643868
Provider Type
Individual
Gender
Female
NPI Issued
May 30, 2007 (19.175144000265 yrs)
Last Updated
Aug 18, 2020
Licenses
LPP161LP5067 (MN)
LP5067 (MN)
Sole Proprietor
Yes

Practice Information

Address
700 TWELVE OAKS CENTER DR
STE 204
WAYZATA, MN, 553914415
Browse MN providers · Browse ZIP 55391
Phone
6123068499
Fax
6513749641
Primary Specialty
Counseling Psychologist
103TC1900X
Additional Specialty
Counseling Psychologist

Other Counseling Psychologist Providers in WAYZATA, MN

Name Credential NPI
DR. SONJA BENSON PH.D. 1790984227
GERI G. SCHERER M.A., L.P. 1881958544
SAMUEL PAUL WELLMAN MA, LPCC 1457991549
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.