J Taborn Associates INC

NPI #1356525513 in Minneapolis, Minnesota

Provider Information

NPI Number: 1356525513
Entity Type: Organization
Organization Name: J Taborn Associates INC
Primary Specialty: Psychologist
Enumeration Date: Dec 24, 2007
Last Updated: Dec 24, 2007

Practice Location

Address: 1219 MARQUETTE AVE
Address 2: SUITE 80
City: Minneapolis
State: Minnesota
ZIP Code: 55403-2488
Phone: (612) 338-9012

Authorized Official

Name: DR. JOYCE TABORN JACKSON, PH.D.
Title: VICE-PRES./LICENSED PSYCHOLOGIST
Phone: (612) 338-9012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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