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NPI Code Detail

MEDICARE: BETSY BATEMAN L.P.

MEDICARE: BETSY BATEMAN L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistLP3764MN

General Provider Information

NPI Number : 1538476155
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY BATEMAN L.P.
Provider Business Mailing Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-273-9104
Fax Number : 612-273-6692
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-273-9104
Fax Number : 612-273-6692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2010
Last Update Date : 02/08/2026

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