Mrs. Jill Stephens
Psychologist
11070 183rd Cir Nw
Elk River
, Minnesota 55330-2842
Mrs. Jill Stephens
Psychologist
11070 183rd Cir Nw
Elk River
, Minnesota 55330-2842
(763) 633-5112
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Jill Stephens
- 22251 169th St Nw
- Big Lake, MN
- Zip : 55309-8220
- Fax : (763) 633-5112
- Phone : (763) 633-5111
Second Address
- Mrs. Jill Stephens
- 11070 183rd Cir Nw
- Elk River, MN
- Zip : 55330-2842
- Fax : (763) 633-5112
- Phone : (763) 633-5111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | LP2602 | MN |
| Y | 103T00000X | Psychologist | LP2602 | MN |
National Provider Identifier
| NPI | 1013073899 |
|---|---|
| Provider Name | Mrs. Jill Stephens |
| First Address | Big Lake, MN 55309-8220 |
| Second Address | Elk River, MN 55330-2842 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14772000 | MEDICAL ASSISTANCE (01) | MN |
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.