Provider Demographics
NPI:1922788033
Name:MAUREEN ULBEE PSYCHOTHERAPY PLLC
Entity Type:Organization
Organization Name:MAUREEN ULBEE PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ULBEE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MSW, LICSW
Authorized Official - Phone:612-790-4173
Mailing Address - Street 1:2356 UNIVERSITY AVE W STE 220
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1850
Mailing Address - Country:US
Mailing Address - Phone:612-790-4173
Mailing Address - Fax:
Practice Address - Street 1:2356 UNIVERSITY AVE W STE 220
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1850
Practice Address - Country:US
Practice Address - Phone:612-790-4173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417935669OtherNPI