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NPI Code Detail

MEDICARE: PATRICK JAMES REPP M.A., L.P.

MEDICARE: PATRICK JAMES REPP M.A., 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
1103TC1900XCounseling PsychologistLP2263MN
2106H00000XMarriage & Family Therapist0265MN

General Provider Information

NPI Number : 1427152933
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JAMES REPP M.A., L.P.
Provider Business Mailing Address
First Line : 3499 LEXINGTON AVE N
Second Line : SUITE 100
City : SAINT PAUL
State : MN
Zip : 55126-7058
Country : US
Telephone Number : 651-486-4828
Fax Number : 651-482-9119
Provider Business Practice Location Address
First Line : 3499 LEXINGTON AVE N
Second Line : SUITE 100
City : SAINT PAUL
State : MN
Zip : 55126-7058
Country : US
Telephone Number : 651-486-4828
Fax Number : 651-482-9119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 09/11/2025

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