Jeffry Alan Cottle
Clinical Psychologist
4164 Hemlock Ln
Saint Paul
, Minnesota 55127-6111
Jeffry Alan Cottle
Clinical Psychologist
4164 Hemlock Ln
Saint Paul
, Minnesota 55127-6111
(651) 308-7176
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Jeffry Alan Cottle
- 4164 Hemlock Ln
- Saint Paul, MN
- Zip : 55127-6111
- Phone : (651) 308-7176
Second Address
- Jeffry Alan Cottle
- 4164 Hemlock Ln
- Saint Paul, MN
- Zip : 55127-6111
- Phone : (651) 308-7176
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | LP0480 | MN |
| Y | 103TC0700X | Clinical Psychologist | LP0480 | MN |
National Provider Identifier
| NPI | 1003853292 |
|---|---|
| Provider Name | Jeffry Alan Cottle |
| First Address | Saint Paul, MN 55127-6111 |
| Second Address | Saint Paul, MN 55127-6111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.