Marissa Ethel Rosenblum
Mental Health
1785 Logan Ave S
Minneapolis
, Minnesota 55403-2844
Marissa Ethel Rosenblum
Mental Health
1785 Logan Ave S
Minneapolis
, Minnesota 55403-2844
(612) 354-3543
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Marissa Ethel Rosenblum
- 1785 Logan Ave S
- Minneapolis, MN
- Zip : 55403-2844
- Phone : (612) 354-3543
Second Address
- Marissa Ethel Rosenblum
- 1785 Logan Ave S
- Minneapolis, MN
- Zip : 55403-2844
- Phone : (612) 354-3543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 102199 | MN |
National Provider Identifier
| NPI | 1326481060 |
|---|---|
| Provider Name | Marissa Ethel Rosenblum |
| First Address | Minneapolis, MN 55403-2844 |
| Second Address | Minneapolis, MN 55403-2844 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2013 |
| Last Update Date | 24/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.