DR. Jane Marie Vansickle, PHD, LP

NPI #1992852602 in Granite Falls, Minnesota

Provider Information

NPI Number: 1992852602
Entity Type: Individual
Name: DR. Jane Marie Vansickle, PHD, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD, LP
Enumeration Date: Jan 4, 2007
Last Updated: Jan 20, 2019

Practice Location

Address: 345 10TH AVE
City: Granite Falls
State: Minnesota
ZIP Code: 56241-1442
Phone: (320) 564-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary

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