MEDICARE: ROBERT DELL BINGER M.A.,L.P.C.

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	101YP2500X	Professional Counselor	LPC 00085	MN

General Provider Information

NPI Number	:	1699715995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DELL BINGER M.A.,L.P.C.

Provider Business Mailing Address
First Line	:	821 RAYMOND AVENUE
Second Line	:	SUITE 300
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1525
Country	:	US
Telephone Number	:	651-641-6169
Fax Number	:	651-641-6145

Provider Business Practice Location Address
First Line	:	821 RAYMOND AVENUE
Second Line	:	SUITE 300
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1525
Country	:	US
Telephone Number	:	651-641-6169
Fax Number	:	651-641-6145

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

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