Provider Demographics
NPI:1003348079
Name:OBERREUTER, ERIN (BA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:OBERREUTER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3733 HILLSBORO AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-1610
Mailing Address - Country:US
Mailing Address - Phone:612-227-2310
Mailing Address - Fax:
Practice Address - Street 1:3733 HILLSBORO AVE N
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-1610
Practice Address - Country:US
Practice Address - Phone:612-227-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101YMO800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health