Gewirtz, Abigail Hadassah

Gewirtz, Abigail Hadassah is an sole proprietor health care provider with primary practice located at 2550 University Ave West Ste 229N, St Paul MN 55114. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gewirtz, Abigail Hadassah can be contacted via phone (651) 645-3115.

Contact Information

Primary practice address
2550 University Ave West Ste 229N St Paul MN 55114
Phone: (651) 645-3115
Fax: (651) 645-2752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4278 Minnesota

Profile Details

NPI number 1750368353
LBN Legal business name Gewirtz, Abigail Hadassah
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Aug 13th, 2009 - about 17 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 1750368353 NPPES
Minnesota Other 137T0GE BCBS OF MN
Minnesota MEDICAID 438230700 BCBS OF MN
Minnesota Other 6133092 BCBS OF MN

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