Robertson, Mary Elisabeth

Robertson, Mary Elisabeth is an sole proprietor health care provider with primary practice located at 7260 University Ave Ne Suite 235, Fridley MN 55432-3126. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Robertson, Mary Elisabeth can be contacted via phone (763) 572-2605.

Contact Information

Primary practice address
7260 University Ave Ne Suite 235 Fridley MN 55432-3126
Fax: (763) 572-2606
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 3004 Minnesota

Profile Details

NPI number 1689785917
LBN Legal business name Robertson, Mary Elisabeth
Credentials M.A., LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 19 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 1689785917 NPPES
Minnesota Other 489P9LA BLUECROSS/BLUESHIELD

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