Laurel Hedden Jung, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

286 Issued in MN

Practice address

4005 W 65TH St
Suite 116
Edina, MN 55435-1720

Phone

(952) 922-5554

Fax

(952) 922-5554

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1629032420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 116",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-922-5554",
            "fax_number": "952-922-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 116",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-922-5554",
            "fax_number": "952-922-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "LAUREL",
        "middle_name": "HEDDEN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "286",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "7347",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire R Joubert, PA-C
• Journey Pediatric Therapy LLC
• Jeffrey T Joynson, CRNA
• JSR Neuropsychological Services PLLC
• Juliann Miller, Ma, LP
• Lisa M Juran, PHARM D
• Adrian Thomas Jurek, M.D.
• Caitlin R Jurgens, PT
• Joyce Lynne Juster, M.A., LP
• Krista Michelle Kacerik, RD, LD

• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.