Provider Demographics
NPI:1003085853
Name:ROBIDEAU, ANDREA LYNN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:ROBIDEAU
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 BAVARIA LN
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-4597
Mailing Address - Country:US
Mailing Address - Phone:952-448-3625
Mailing Address - Fax:952-448-3625
Practice Address - Street 1:566 BAVARIA LN
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-4597
Practice Address - Country:US
Practice Address - Phone:952-448-3625
Practice Address - Fax:952-448-3625
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist