Provider Demographics
NPI:1710499892
Name:BHATTACHARYA, REEMA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:REEMA
Middle Name:
Last Name:BHATTACHARYA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:REEMA
Other - Middle Name:
Other - Last Name:BHATTACHARYA PSYCHOTHERAPIST MS MFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REEMA BHATTACHARYA
Mailing Address - Street 1:6341 URBANDALE LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1384
Mailing Address - Country:US
Mailing Address - Phone:716-239-1663
Mailing Address - Fax:
Practice Address - Street 1:7201 METRO BLVD STE 550
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-1353
Practice Address - Country:US
Practice Address - Phone:612-249-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3476106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist