Iverson, Elizabeth

Iverson, Elizabeth is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Iverson, Elizabeth can be contacted via phone (651) 777-5222.

Contact Information

Primary practice address
7066 Stillwater Blvd N Oakdale MN 55128-3937
Phone: (651) 777-5222
Fax: (651) 251-5111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1674 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0247 Minnesota

Profile Details

NPI number 1083628259
LBN Legal business name Iverson, Elizabeth
Credentials LICSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1083628259 NPPES
Minnesota Other 0G031IV BCBS
Minnesota Other 17585 BCBS
Minnesota Other 570039 BCBS
Minnesota Other 106231 BCBS
Minnesota Other 62-20088 BCBS

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