Provider Demographics
NPI:1225140247
Name:RIBA, DEBORAH SUE (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SUE
Last Name:RIBA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 E BLOOMINGTON FWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-3435
Mailing Address - Country:US
Mailing Address - Phone:952-881-9883
Mailing Address - Fax:952-881-3588
Practice Address - Street 1:9001 E BLOOMINGTON FWY
Practice Address - Street 2:SUITE 140
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-3435
Practice Address - Country:US
Practice Address - Phone:952-881-9883
Practice Address - Fax:952-881-3588
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0456106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist