MEDICARE: ROBBIE AMAR LMFT

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	106H00000X	Marriage & Family Therapist	3559	MN

General Provider Information

NPI Number	:	1780157305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBIE AMAR LMFT

Provider Business Mailing Address
First Line	:	3548 BRYANT AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-4119
Country	:	US
Telephone Number	:	612-822-8227
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 E 28TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1601
Country	:	US
Telephone Number	:	612-668-5000
Fax Number	:

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

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	01/07/2019

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