Provider Demographics
NPI:1144523804
Name:JALMA, KATIE SHAY (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:SHAY
Last Name:JALMA
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:SAIJE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2829 39TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1848
Mailing Address - Country:US
Mailing Address - Phone:612-486-2742
Mailing Address - Fax:612-486-8021
Practice Address - Street 1:790 CRETIN AVE. S.
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116
Practice Address - Country:US
Practice Address - Phone:612-486-2742
Practice Address - Fax:612-486-8021
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5314103TC1900X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling