| Doctor Name: | DR. JENNIFER RENE GOZY |
| NPI Number: | 1003141979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, LP |
| License Number: | LP5159 |
| Business Practice Address: | 2430 Nicollet Ave S Minneapolis, MN - 554043461 |
| Business Phone Number: | 6128711454 |
| Business Fax Number: | 9529120554 |
| Mailing Address: | 2430 Nicollet Ave S, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554043461 |
| Phone Number: | 6128711454 |
| Fax Number: | 9529120554 |
| NPI Enumeration Date: | 10/12/2009 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP5159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |