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NPI Code Detail

MEDICARE: DEBRA KAE LORENCE TOPEL L.M.F.T.

MEDICARE:   DEBRA KAE LORENCE TOPEL  L.M.F.T.
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
1106H00000XMarriage & Family Therapist920MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HP40242OTHERMNHEALTH PARTNERS
2086M2LOOTHERMNBLUE CROSS BLUE SHIELD
3214506OTHERMNCOMPSYCH EAP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
56250202OTHERMNMEDICA - UBH

General Provider Information

NPI Number : 1629138417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA KAE LORENCE TOPEL L.M.F.T.
Provider Business Mailing Address
First Line : 2115 COUNTY ROAD D E
Second Line : SUITE B
City : MAPLEWOOD
State : MN
Zip : 55109-5353
Country : US
Telephone Number : 651-748-5019
Fax Number : 651-773-7591
Provider Business Practice Location Address
First Line : 2115 COUNTY ROAD D E
Second Line : SUITE B
City : MAPLEWOOD
State : MN
Zip : 55109-5353
Country : US
Telephone Number : 651-748-5019
Fax Number : 651-773-7591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/09/2007

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Directions to “ DEBRA KAE LORENCE TOPEL L.M.F.T.” Practice Location

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