Individual
ABIGAIL HADASSAH GEWIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2550 UNIVERSITY AVE WEST, STE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Mailing address
1088 OVERLOOK RD, MENDOTA HEIGHTS, MN 55118
(651) 365-1249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4278
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137T0GE
BCBS OF MN
MN
05
—
438230700
—
MN
01
—
6133092
MEDICA
MN
Enumeration date
12/27/2005
Last updated
08/13/2009
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