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Individual

DIANE L BEARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
PWB 3RD FLOOR, CLINIC 3A, 516 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 884-0999
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC 741, MINNEAPOLIS, MN 55455
(612) 884-0999

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4047
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049219100
MN
01
1022957
PREFERREDONE
MN
01
124387
UCARE
MN
01
174946
FAIRVIEW
MN
01
25G73BE
BLUE CROSS BLUE SHIELD
MN
01
61-63749
MEDICA-CHOICE
MN
01
680011231
RAILROAD MEDICARE
MN
01
900347
ARAZ GROUP
MN
01
HP29851
HP
MN
Enumeration date
10/04/2006
Last updated
01/10/2014
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