Soreya Jama
Cognitive & Behavioral Psychologist
1710 Douglas Dr N Ste 226x
Golden Valley
, Minnesota 55422-4371
Soreya Jama
Cognitive & Behavioral Psychologist
1710 Douglas Dr N Ste 226x
Golden Valley
, Minnesota 55422-4371
(952) 658-0434
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Soreya Jama
- 1710 Douglas Dr N Ste 226x
- Golden Valley, MN
- Zip : 55422-4371
- Fax : (952) 658-0434
- Phone : (612) 703-8828
Second Address
- Soreya Jama
- 1710 Douglas Dr N Ste 226x
- Golden Valley, MN
- Zip : 55422-4371
- Fax : (952) 658-0434
- Phone : (612) 703-8828
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist |
National Provider Identifier
| NPI | 1053790568 |
|---|---|
| Provider Name | Soreya Jama |
| First Address | Golden Valley, MN 55422-4371 |
| Second Address | Golden Valley, MN 55422-4371 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2015 |
| Last Update Date | 12/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053569798 | (05) | 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.