Barbara B Cuppett, MA
Individual provider Active NPI Marriage & Family Therapist · Otsego, MN
NPI 1295036119 · NPPES record last updated Dec 5, 2017
Key facts
- NPI
- 1295036119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3522 (MN)
- Practice address
- 9000 Quantrelle Ave NE
Otsego, MN 55330-0139 - Phone
- (763) 633-3800
- Fax
- (763) 633-3808
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166000641 | IL | MD | Marriage & Family Therapist |
| 3522 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166000641 | IL | |
| Marriage & Family Therapist | 106H00000X | 3522 | MN | Yes |
Addresses
Primary practice location
9000 Quantrelle Ave NE
Otsego, MN 55330-0139
Mailing address
9000 Quantrelle Ave NE
Otsego, MN 55330-0139
Phone (763) 633-3800
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All providers in Otsego, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.