Individual
ELISSA BETH ABRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
3570 LEXINGTON AVE N, SUITE 100, SHOREVIEW, MN 55126-8049
(651) 481-0664
Mailing address
8703 SHEPHERD WAY, EDEN PRAIRIE, MN 55347-5317
(612) 990-7171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0770
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D28AB
BCBS
MN
Enumeration date
12/14/2006
Last updated
07/08/2007
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