Doctor Name: | DR. JENNIFER SARAH MRNAK-MEYER |
NPI Number: | 1033408943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., L.P. |
License Number: | LP5393 |
Business Practice Address: | 4801 Veterans Dr Saint Cloud, MN - 563032015 |
Business Phone Number: | 3202521670 |
Business Fax Number: | 3202556378 |
Mailing Address: | 1335 Cooper Ave S, SAINT CLOUD |
State: | MN |
Postal Code: | 563014826 |
Phone Number: | 6183037573 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP5393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |