Healthcare Provider Details

I. General information

NPI: 1255007456
Provider Name (Legal Business Name): JENNIFER JEAN ARONSON PSYD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15427 CENTURY ESTATES CIR
COLD SPRING MN
56320-9739
US

IV. Provider business mailing address

15427 CENTURY ESTATES CIR
COLD SPRING MN
56320-9739
US

V. Phone/Fax

Practice location:
  • Phone: 651-238-3793
  • Fax:
Mailing address:
  • Phone: 651-238-3793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP7261
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: