Individual
DR. REBECCA BIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., L.P.
Contact information
Practice address
3100 W LAKE ST, SUITE 320, MINNEAPOLIS, MN 55416-4510
(612) 929-1899
(612) 929-9006
Mailing address
3100 W LAKE ST, SUITE 320, MINNEAPOLIS, MN 55416-4510
(612) 929-1899
(612) 929-9006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP 1620
MN
106H00000X
Marriage & Family Therapist
Primary
MFT 276
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01447BI
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
03/25/2007
Last updated
09/11/2025
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