Individual
DR. JEAN M. BIRBILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
2721 UPPER AFTON RD E STE 101, MAPLEWOOD, MN 55119-4760
(651) 739-6167
Mailing address
2721 UPPER AFTON RD E STE 101, MAPLEWOOD, MN 55119-4760
(651) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0392
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66Q90BI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/16/2007
Last updated
07/08/2007
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