Jessica Rose Vander Weyst, PsyD, LP
Psychologist, Clinical in St. Cloud, MN. Individual provider (NPI-1).
NPI number1386947653
StatusActive
Last updated in NPPESDec 8, 2010
Details
- NPI
- 1386947653
- Entity type
- Individual (NPI-1)
- Name
- Jessica Rose Vander Weyst
- Credential
- PsyD, LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2010
- Last updated
- Dec 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP5304 | MN | Yes |
Practice location
1406 6th Avenue NorthSt. Cloud Hospital
St. Cloud, MN 56303-1901
Phone 320-251-2700
Mailing address
1900 Centracare Circle #2475Centracare Health Plaza
St. Cloud, MN 56303
Phone 320-229-5199 · Fax 320-229-5109
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Other Clinical Psychologist providers in St Cloud, MN
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