IndividualActive
Jade Rafferty, PH.D., LP
NPI 1386997179 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1386997179
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2720 W 43rd St
Suite 205
Minneapolis, MN 55410-1643
Phone: (612) 767-9860
Fax: (612) 767-9861
Approximate (ZIP-level) locationGet directions
Mailing address
2720 W 43rd St
Minneapolis, MN 55410-1643
Registry dates
- Enumerated
- 2012-10-18
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.