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SAMUEL BOMBER LPCC NPI 1700422276


NPI Information

NPI: 1700422276
Provider Name: SAMUEL BOMBER, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10273 YELLOW CIRCLE DR
MINNETONKA, MN
ZIP 55343
Phone: (952) 215-3756
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Samuel Bomber, LPCC is a mental health counselor in Minnetonka, MN. Samuel Bomber, LPCC NPI is 1700422276. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10273 YELLOW CIRCLE DR
MINNETONKA, MN
ZIP 55343-144
Phone: (952) 215-3756

The enumeration date for this NPI number is 11/20/2019 and was last updated on 3/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health2272MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.