Provider Demographics
NPI:1629372909
Name:SINGERHOUSE, ROBERTA MARY (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:MARY
Last Name:SINGERHOUSE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:MARY
Other - Last Name:COMPARONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:570 ASBURY ST STE 206
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1850
Mailing Address - Country:US
Mailing Address - Phone:651-528-4219
Mailing Address - Fax:
Practice Address - Street 1:570 ASBURY ST STE 206
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1850
Practice Address - Country:US
Practice Address - Phone:651-528-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5319103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1629372909OtherBLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS
MN1629372909Medicaid