Jaime Ascencio, LP

NPI #1972084226 in Mendota Heights, Minnesota

Provider Information

NPI Number: 1972084226
Entity Type: Individual
Name: Jaime Ascencio, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: LP
Enumeration Date: Aug 24, 2018
Last Updated: May 20, 2022

Practice Location

Address: 1155 NORTHLAND DR
City: Mendota Heights
State: Minnesota
ZIP Code: 55120-1288
Phone: (612) 223-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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