Provider Demographics
NPI:1518170570
Name:MCNAUGHT, JANE KAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:KAY
Last Name:MCNAUGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3300 EDINBOROUGH WAY
Mailing Address - Street 2:730
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5923
Mailing Address - Country:US
Mailing Address - Phone:952-896-1772
Mailing Address - Fax:952-896-1743
Practice Address - Street 1:3300 EDINBOROUGH WAY
Practice Address - Street 2:730
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5923
Practice Address - Country:US
Practice Address - Phone:952-896-1772
Practice Address - Fax:952-896-1743
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1142103T00000X
103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103T00000XBehavioral Health & Social Service ProvidersPsychologist