Jenna Marie Edlund
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
9352 Oak Ave
Waconia
, Minnesota 55387-9422
Jenna Marie Edlund
Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
9352 Oak Ave
Waconia
, Minnesota 55387-9422
(952) 955-4714
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Jenna Marie Edlund
- 9352 Oak Ave
- Waconia, MN
- Zip : 55387-9422
- Phone : (952) 955-4714
Second Address
- Jenna Marie Edlund
- 9352 Oak Ave
- Waconia, MN
- Zip : 55387-9422
- Phone : (952) 955-4714
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | LP6329 | MN |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | LP6329 | MN |
National Provider Identifier
| NPI | 1164943601 |
|---|---|
| Provider Name | Jenna Marie Edlund |
| First Address | Waconia, MN 55387-9422 |
| Second Address | Waconia, MN 55387-9422 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2017 |
| Last Update Date | 05/11/2018 |
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.