Bucchianeri, Michaela Marie

Bucchianeri, Michaela Marie is an individual health care provider with primary practice located at 12301 Whitewater Dr Ste 101 , Minnetonka MN 55343-4157. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bucchianeri, Michaela Marie can be contacted via phone (952) 999-6097.

Contact Information

Primary practice address
12301 Whitewater Dr Ste 101 Minnetonka MN 55343-4157
Phone: (952) 999-6097
Fax: (952) 426-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP6153 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6153 Minnesota

Profile Details

NPI number 1255840187
LBN Legal business name Bucchianeri, Michaela Marie
Credentials PH.D, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Nov 20th, 2017 - about 7 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 1255840187 NPPES
Minnesota MEDICAID 1255840187

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