Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | LP 2816 | MN |
N | 103T00000X | Psychologist | LP 2816 | MN |
N | 103TB0200X | Cognitive & Behavioral Psychologist | LP 2816 | MN |
N | 103TC1900X | Counseling Psychologist | LP 2816 | MN |
N | 103TP2701X | Group Psychotherapist | LP 2816 | MN |
NPI | 1043339740 |
---|---|
Provider Name | Ms. Ann E. Zaiser |
First Address | Minneapolis, MN 55408-1122 |
Second Address | Anoka, MN 55303-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6251960 | UBH (01) | |
676G2ZA | BCBS (01) |