Sersland Brady, Kimberly Paulette
Sersland Brady, Kimberly Paulette is an individual health care provider with primary practice located at 4432 Chicago Avenue South , Minneapolis MN 55407. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sersland Brady, Kimberly Paulette can be contacted via phone (612) 870-2442.Contact Information
Primary practice address
4432 Chicago Avenue South
Minneapolis MN 55407
Phone: (612) 870-2442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP5092 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC00257 | Minnesota |
Profile Details
| NPI number | 1952432130 |
|---|---|
| LBN Legal business name | Sersland Brady, Kimberly Paulette |
| Credentials | MA, LP, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 15th, 2012 - about 14 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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