Individual provider · Type 1 NPI

Jessica Bordenave, PSYD, LP

Clinical Psychologist · Bloomington, MN

NPI number 1023500113 Active

Practice location

1101 E 78th St Ste 100
Bloomington, MN 55420-1402

Fax (952) 854-5363

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X3557-57 (WI)
Clinical Psychologist Primary 103TC0700X6325 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1023500113

Jessica Bordenave, PSYD, LP's National Provider Identifier is 1023500113, issued on Jun 4, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bloomington, MN. The record was last updated on Nov 12, 2018.