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
Fax: (651) 227-8908
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104955418 NPPES
Minnesota MEDICAID 546547800

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