Healthcare Provider Details

I. General information

NPI: 1134225196
Provider Name (Legal Business Name): ROBIN S DEANS MA LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN PIERCE

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2497 7TH AVE E BHSI LLC SUITE 101
NORTH ST PAUL MN
55109-2496
US

IV. Provider business mailing address

2497 7TH AVE E BHSI LLC SUITE 101
NORTH ST PAUL MN
55109-2496
US

V. Phone/Fax

Practice location:
  • Phone: 651-769-6400
  • Fax: 651-769-6449
Mailing address:
  • Phone: 651-769-6437
  • Fax: 651-769-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP3673
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: