Pearson, Mardelle Brandt
Pearson, Mardelle Brandt is an sole proprietor health care provider with primary practice located at 2172 Midland View Ct N , Roseville MN 55113-5304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Pearson, Mardelle Brandt can be contacted via phone (612) 267-3446.Contact Information
Primary practice address
2172 Midland View Ct N
Roseville MN 55113-5304
Phone: (612) 267-3446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP2890 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2890 | Minnesota |
Profile Details
| NPI number | 1922151596 |
|---|---|
| LBN Legal business name | Pearson, Mardelle Brandt |
| Credentials | M.A. L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 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 | 1922151596 | NPPES |
| Minnesota | Other | 13434PE | BCBS |
| Minnesota | Other | 1G086PE | BCBS |
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