MRS. Jennifer Ann Ullom, MA, LP

NPI #1366643868 in Wayzata, Minnesota

Provider Information

NPI Number: 1366643868
Entity Type: Individual
Name: MRS. Jennifer Ann Ullom, MA, LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Credential: MA, LP
Enumeration Date: May 30, 2007
Last Updated: Aug 18, 2020

Practice Location

Address: 700 TWELVE OAKS CENTER DR
Address 2: STE 204
City: Wayzata
State: Minnesota
ZIP Code: 55391-4415
Phone: (612) 306-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Counseling — Counseling	103TC1900X	Primary

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