Robertson, Andrea Susan

Robertson, Andrea Susan is an individual health care provider with primary practice located at 8530 Eagle Point Blvd Suite 150, Lake Elmo MN 55042-8649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Robertson, Andrea Susan can be contacted via phone (612) 701-0477.

Contact Information

Primary practice address
8530 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8649
Phone: (612) 701-0477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14256 Minnesota

Profile Details

NPI number 1720304991
LBN Legal business name Robertson, Andrea Susan
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Jan 23rd, 2019 - about 7 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 1720304991 NPPES
Minnesota MEDICAID 1720304991

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