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Contact Information

JEREMY W RONDORF, PSY.D.
15245 PLEASANT VALLEY RD
CENTER CITY, MN55012-9640
 Phone: 651-213-4184
 Fax: 651-213-4411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEREMY W RONDORF · (Male)

NPI Number 1639227135
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 01/08/2007
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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