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NPI Code Detail

MEDICARE: BARBARA M KLATT LICSW

MEDICARE: BARBARA M KLATT LICSW
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
1104100000XSocial Worker08312MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558377911
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA M KLATT LICSW
Provider Business Mailing Address
First Line : 3333 UNIVERSITY AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3325
Country : US
Telephone Number : 612-331-9413
Fax Number :
Provider Business Practice Location Address
First Line : 3333 UNIVERSITY AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3325
Country : US
Telephone Number : 612-331-9413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/09/2009

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Directions to “ BARBARA M KLATT LICSW” Practice Location

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