Klepperich, Judith A
Klepperich, Judith A is an sole proprietor health care provider with primary practice located at 8100 Penn Ave S Suite 105, Bloomington MN 55431-1325. 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. Klepperich, Judith A can be contacted via phone (952) 831-1303.Contact Information
Primary practice address
8100 Penn Ave S Suite 105
Bloomington MN 55431-1325
Phone: (952) 831-1303
Fax: (952) 831-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT 248 | Minnesota |
Profile Details
| NPI number | 1639388127 |
|---|---|
| LBN Legal business name | Klepperich, Judith A |
| Credentials | MA, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639388127 | NPPES |
| Minnesota | Other | 0005430411 | AETNA |
| Minnesota | Other | 113623 | AETNA |
| Minnesota | Other | 348M0KL | AETNA |
| Minnesota | Other | 6256665 | AETNA |
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