Individual provider · Type 1 NPI

Jennifer L. Wilson, PhD

Psychologist · Eden Prairie, MN

NPI number 1124684600 Active

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Call (952) 746-2522 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP5857 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1124684600

Jennifer L. Wilson, PhD's National Provider Identifier is 1124684600, issued on May 10, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Eden Prairie, MN. The record was last updated on May 10, 2019.