Gerald E. Jensen, Jr.

NPI #1871596585 in Baxter, Minnesota

Provider Information

NPI Number: 1871596585
Entity Type: Organization
Organization Name: Gerald E. Jensen, Jr.
Primary Specialty: Psychologist
Enumeration Date: May 27, 2005
Last Updated: Feb 10, 2009

Practice Location

Address: 6980 FAIRVIEW RD
Address 2: SUITE 110
City: Baxter
State: Minnesota
ZIP Code: 56425-7836
Phone: (218) 822-3736

Authorized Official

Name: JERRY E. JENSEN, MA, LP
Title: DIRECTOR
Phone: (218) 822-3736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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