Egertson, Samuel Joseph

Egertson, Samuel Joseph is an individual health care provider with primary practice located at 5407 Excelsior Blvd Ste B , St Louis Park MN 55416-2932. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Egertson, Samuel Joseph can be contacted via phone (612) 787-2832.

Contact Information

Primary practice address
5407 Excelsior Blvd Ste B St Louis Park MN 55416-2932
Phone: (612) 787-2832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2018038889 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Minnesota

Profile Details

NPI number 1053885756
LBN Legal business name Egertson, Samuel Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Jun 15th, 2021 - about 4 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.

Request for update

Popular Providers

  • O'Davis, Deborah
    6490 Excelsior Blvd Suite W505, St Louis Park MN 55426-4705
  • Deal, Randi B
    5407 Excelsior Blvd Ste B , St Louis Park MN 55416-2932
  • Libi, Michelle
    5009 Excelsior Blvd Suite 102, St Louis Park MN 55416-3041
  • Dahlof, Karol Joy
    1000 Shelard Pkwy Suite 260, St Louis Park MN 55426-1053
  • Elde, Carol
    1660 Highway 100 S Parkdale Plaza , Suite 332, St Louis Park MN 55416-1529
  • Schuldt, Dawn K
    5219 Wayzata Blvd Suite 240, St Louis Park MN 55416-1301
  • Jacobs, Thomas
    4500 Park Glen Rd #150, St Louis Park MN 55416-4871
  • Laube, Herbert Herman
    L660 South Highway L00 Suite L42, St. Louis Park MN 55416-3823