Berentson, Lea

Berentson, Lea is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Berentson, Lea can be contacted via phone (701) 530-7300.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Phone: (701) 530-7300
Fax: (701) 530-7319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 487 North Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 487 North Dakota

Profile Details

NPI number 1295156495
LBN Legal business name Berentson, Lea
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Apr 18th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295156495 NPPES
North Dakota MEDICAID 1453145

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