Individual
DR. KIMBERLY BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2265 COMO AVE STE 201, SAINT PAUL, MN 55108-1700
(651) 646-8985
Mailing address
2265 COMO AVE STE 201, SAINT PAUL, MN 55108-1700
(651) 646-8985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4636
MN
101YP2500X
Professional Counselor
4636
MN
103T00000X
Psychologist
Primary
4636
MN
103TA0700X
Adult Development & Aging Psychologist
4636
MN
103TB0200X
Cognitive & Behavioral Psychologist
4636
MN
103TC0700X
Clinical Psychologist
4636
MN
103TC1900X
Counseling Psychologist
4636
MN
103TC2200X
Clinical Child & Adolescent Psychologist
4636
MN
103TF0000X
Family Psychologist
4636
MN
103TH0100X
Health Service Psychologist
4636
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4636
MN
103TP2701X
Group Psychotherapy Psychologist
4636
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78G56BA
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
08/30/2006
Last updated
09/11/2025
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