Bertram, Rebecca Rowena Sullivan

Bertram, Rebecca Rowena Sullivan is an individual health care provider with primary practice located at 9800 Rockford Rd , Plymouth MN 55442-2811. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Bertram, Rebecca Rowena Sullivan can be contacted via phone (952) 460-9008.

Contact Information

Primary practice address
9800 Rockford Rd Plymouth MN 55442-2811
Fax: (763) 416-0916
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP5934 Minnesota

Profile Details

NPI number 1710358387
LBN Legal business name Bertram, Rebecca Rowena Sullivan
Credentials PSYD,, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2015
Last updated Oct 8th, 2015 - about 9 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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