Berg, Robin
Berg, Robin is an sole proprietor health care provider with primary practice located at 819 30Th Ave S Suite 206F, Moorhead MN 56560-5000. 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. Berg, Robin can be contacted via phone (218) 284-9672.Contact Information
Primary practice address
819 30Th Ave S Suite 206F
Moorhead MN 56560-5000
Phone: (218) 284-9672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2289 | Minnesota |
Profile Details
| NPI number | 1366746737 |
|---|---|
| LBN Legal business name | Berg, Robin |
| Credentials | MS, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2010 |
| Last updated | Dec 8th, 2016 - about 8 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 | 1366746737 | NPPES |
| Minnesota | MEDICAID | 1366746737 |
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