Individual provider · Type 1 NPI

Jackie Lyn Micklewright, PhD

Clinical Neuropsychologist · St. Paul, MN

NPI number 1669705638 Active

Practice location

280 Smith Ave N Ste 220
St. Paul, MN 55102-2459

Call (651) 241-8295 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 11280 86th Ave N, Maple Grove, MN 55369-4510 · (763) 400-7828

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XLP5324 (MN)
Clinical Neuropsychologist Primary 103G00000XNone listed

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1669705638

Jackie Lyn Micklewright, PhD's National Provider Identifier is 1669705638, issued on Sep 9, 2009. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in St. Paul, MN. The record was last updated on Apr 28, 2026.