Individual
DR. REBECCA ROWENA SULLIVAN BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD,, LP
Contact information
Practice address
9800 ROCKFORD RD, PLYMOUTH, MN 55442-2811
(952) 460-9008
(763) 416-0916
Mailing address
9800 ROCKFORD RD, PLYMOUTH, MN 55442-2811
(952) 460-9008
(763) 416-0916
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5934
MN
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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