Petermann, Joy Marie

Petermann, Joy Marie is an individual health care provider with primary practice located at 5353 Wayzata Blvd Ste 202 , St Louis Park MN 55416-1316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petermann, Joy Marie can be contacted via phone (763) 432-4072.

Contact Information

Primary practice address
5353 Wayzata Blvd Ste 202 St Louis Park MN 55416-1316
Phone: (763) 432-4072
Fax: (763) 432-4073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14968 Minnesota

Profile Details

NPI number 1366491466
LBN Legal business name Petermann, Joy Marie
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 10th, 2018 - about 6 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 1366491466 NPPES
Other 712687500 CADI

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