MEDICARE: ERICA BEHRENS PHD, LP

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
1	103TC1900X	Counseling Psychologist
2	103T00000X	Psychologist	LP6313	MN

General Provider Information

NPI Number	:	1295220994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA BEHRENS PHD, LP

Provider Business Mailing Address
First Line	:	3131 SUPERIOR DR NW STE A
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2966
Country	:	US
Telephone Number	:	507-218-2068
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 SUPERIOR DR NW STE A
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2966
Country	:	US
Telephone Number	:	507-218-2068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	05/26/2026

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