Richardson, Patricia Ann

Richardson, Patricia Ann is an sole proprietor health care provider with primary practice located at 401 Division St S Suite C, Northfield MN 55057-2095. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Richardson, Patricia Ann can be contacted via phone (507) 645-5644.

Contact Information

Primary practice address
401 Division St S Suite C Northfield MN 55057-2095
Phone: (507) 645-5644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02179 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0154 Minnesota

Profile Details

NPI number 1497888903
LBN Legal business name Richardson, Patricia Ann
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jan 7th, 2010 - about 16 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 1497888903 NPPES
Minnesota Other 6220276 UNITED BEHAVIORAL HEALTH
Minnesota Other 8682 UNITED BEHAVIORAL HEALTH
Minnesota Other 116174 UNITED BEHAVIORAL HEALTH
Minnesota Other 1A908RI UNITED BEHAVIORAL HEALTH
Minnesota MEDICAID 971857500 UNITED BEHAVIORAL HEALTH

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