Provider Demographics
NPI:1528845922
Name:BERNSTTEIN, ANNA LOUISE LEDAI
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LOUISE LEDAI
Last Name:BERNSTTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 SHELARD PKWY STE 115
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6527
Mailing Address - Country:US
Mailing Address - Phone:763-200-8900
Mailing Address - Fax:763-432-6001
Practice Address - Street 1:9800 SHELARD PKWY STE 115
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-6527
Practice Address - Country:US
Practice Address - Phone:763-200-8900
Practice Address - Fax:763-432-6001
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling