IndividualActive
Jordan Hart, PH.D., L.P.
NPI 1376524538 · Clinical Child & Adolescent Psychologist · St Louis Park, MN
Provider details
- NPI number
- 1376524538
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., L.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP 4313 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5353 Gamble Dr
Suite 110
St Louis Park, MN 55416-1509
Phone: (763) 432-4071
Fax: (763) 432-4073
Approximate (ZIP-level) locationGet directions
Mailing address
5353 Gamble Dr
St Louis Park, MN 55416-1509
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.