Mathern, Roberta Lee

Mathern, Roberta Lee is an individual health care provider with primary practice located at 610 Florence Ave , Owatonna MN 55060-4704. 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. Mathern, Roberta Lee can be contacted via phone (507) 451-2630.

Contact Information

Primary practice address
610 Florence Ave Owatonna MN 55060-4704
Phone: (507) 451-2630
Fax: (507) 455-8133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1331 Minnesota

Profile Details

NPI number 1487743977
LBN Legal business name Mathern, Roberta Lee
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 10th, 2021 - about 4 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 1487743977 NPPES
Minnesota Other 57443SK BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 485048300 BLUE CROSS BLUE SHIELD

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