Peterson, Michelle C

Peterson, Michelle C is an individual health care provider with primary practice located at 7600 Parklawn Ave , Edina MN 55435. 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. Peterson, Michelle C can be contacted via phone (612) 203-2961.

Contact Information

Primary practice address
7600 Parklawn Ave Edina MN 55435
Phone: (612) 203-2961
Fax: (952) 831-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1315 Minnesota

Profile Details

NPI number 1851354153
LBN Legal business name Peterson, Michelle C
Credentials MS LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 21st, 2022 - about 3 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 1851354153 NPPES
Minnesota Other 990991045225 PREFERRED ONE
Minnesota Other 1639343783 PREFERRED ONE
Minnesota Other 918142300 PREFERRED ONE
Minnesota MEDICAID 918142300 PREFERRED ONE

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