IndividualActive
Jean Johnson, PSYD
NPI 1285837948 · Intellectual & Developmental Disabilities Psychologist · Eagan, MN
Provider details
- NPI number
- 1285837948
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP4356 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Practice location
1301 Corporate Center Dr
Suite 116
Eagan, MN 55121-1298
Phone: (651) 905-1814
Fax: (651) 905-1815
Approximate (ZIP-level) locationGet directions
Mailing address
8362 Tamarack Vlg
Woodbury, MN 55125-3392
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.