Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jennifer Ann Ullom, MA, LP

Individual provider Psychologist · NPI 1366643868

Mrs. Jennifer Ann Ullom, MA, LP is a Psychologist in Wayzata, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

700 Twelve Oaks Center Dr Ste 204
Wayzata, MN 55391-4415
Phone: (612) 306-8499
Fax: (651) 374-9641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP5067 (MN)
Psychologist Taxonomy 103T00000X · Licence LPP161LP5067 (MN)

Record details

NPI number1366643868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LP
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

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