Provider Demographics
NPI:1013251586
Name:CLAUDIA BERTRAMSEN, M.A., L.P.
Entity type:Organization
Organization Name:CLAUDIA BERTRAMSEN, M.A., L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BERTRAMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LP
Authorized Official - Phone:651-342-1304
Mailing Address - Street 1:305 GREELEY ST S
Mailing Address - Street 2:SUITE 304
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-7029
Mailing Address - Country:US
Mailing Address - Phone:651-342-1304
Mailing Address - Fax:651-342-1073
Practice Address - Street 1:305 GREELEY ST S
Practice Address - Street 2:SUITE 304
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-7029
Practice Address - Country:US
Practice Address - Phone:651-342-1304
Practice Address - Fax:651-342-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPO461103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty