MEDICARE: MS. NANCY JANE BARRON M.A., L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	1907	MN
2	106H00000X	Marriage & Family Therapist	699	MN

General Provider Information

NPI Number	:	1215016258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY JANE BARRON M.A., L.P.

Provider Business Mailing Address
First Line	:	4855 5TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55419-5642
Country	:	US
Telephone Number	:	612-978-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 PARK GLEN RD
Second Line	:	#150
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-4871
Country	:	US
Telephone Number	:	612-978-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/11/2025

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Directions to “ MS. NANCY JANE BARRON M.A., L.P.” Practice Location

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