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Individual

MARINA BLUVSHTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD LP

Contact information

Practice address
4900 HIGHWAY 169 N, SUITE 309, NEW HOPE, MN 55428-4058
(763) 231-0333
Mailing address
4900 HIGHWAY 169 N, SUITE 309, NEW HOPE, MN 55428-4058
(763) 231-0333

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4926
MN
106H00000X
Marriage & Family Therapist
937
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10312001
METROPOLITAN HEALTH PLAN
MN
01
160003
UCARE MN
MN
01
2085749
SIGNA BEHAVIORAL HEALTH
MN
01
32389
HEALTH PARTNERS
MN
01
62-45489
UNITED BEHAVIORAL HEALTH
MN
05
7426976-00
MN
01
98D67BL -- 98D68BL
BCBS MN
MN
Enumeration date
06/26/2006
Last updated
08/26/2008
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