Organization
BIRBILIS AND ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN M BIRBILIS PH.D., L.P. (PRESIDENT)
(651) 739-6167
Entity
Organization
Contact information
Practice address
2721 UPPER AFTON RD E STE 101, MAPLEWOOD, MN 55119-4760
(651) 739-6167
Mailing address
2721 UPPER AFTON RD E STE 101, MAPLEWOOD, MN 55119-4760
(651) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104L5BI
BLUE CROSS BLUE SHIELD
MN
01
—
66Q89BI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/16/2007
Last updated
09/11/2025
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