Balcerzak, Ritamarie Risley
Balcerzak, Ritamarie Risley is an individual health care provider with primary practice located at 2186 3Rd St Suite 105, White Bear Lake MN 55110-3263. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Balcerzak, Ritamarie Risley can be contacted via phone (651) 227-8880.Contact Information
Primary practice address
2186 3Rd St Suite 105
White Bear Lake MN 55110-3263
Phone: (651) 227-8880
Fax: (651) 227-8908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1726 | Minnesota |
Profile Details
NPI number | 1104955418 |
---|---|
LBN Legal business name | Balcerzak, Ritamarie Risley |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2007 |
Last updated | Feb 26th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104955418 | NPPES |
Minnesota | MEDICAID | 546547800 |
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