Anderson, Martha

Anderson, Martha is an individual health care provider with primary practice located at 4284 Dahlberg Dr , Golden Valley MN 55422-4805. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Anderson, Martha can be contacted via phone (952) 428-6332.

Contact Information

Primary practice address
4284 Dahlberg Dr Golden Valley MN 55422-4805
Phone: (952) 428-6332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1291 Minnesota

Profile Details

NPI number 1063431815
LBN Legal business name Anderson, Martha
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 6th, 2021 - about 3 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 1063431815 NPPES
Minnesota Other 1042746 P1
Minnesota Other 908S1AN P1
Minnesota Other 113177 P1
Minnesota Other 47425 P1
Minnesota MEDICAID 819633800 P1

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