Basic Information
Provider Information
NPI: 1285187757
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDGEN
FirstName: BARBARA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 SILVER LAKE RD NW
Address2: #110
City: NEW BRIGHTON
State: MN
PostalCode: 551121786
CountryCode: US
TelephoneNumber: 6516289566
FaxNumber:  
Practice Location
Address1: 1101 E 78TH ST
Address2: STE. 100
City: BLOOMINGTON
State: MN
PostalCode: 554201400
CountryCode: US
TelephoneNumber: 9528545034
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2016
LastUpdateDate: 03/21/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XLP6111MNY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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