Individual
CORTNEY PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
6600 FRANCE AVE S, STE 320, EDINA, MN 55435-1805
(952) 835-2002
(952) 835-9889
Mailing address
6600 FRANCE AVE S, STE 230, EDINA, MN 55435-1805
(952) 835-2002
(952) 835-9889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199P1ST
BCBS
MN
01
—
4045202
UCARE
MN
05
—
954694400
—
MN
01
—
HP49679
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
01/22/2016
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