Mary K Vanreken in Bloomington - Psychologist

Mary K Vanreken - NPI 1609891639

Mary K Vanreken is a Psychologist in Bloomington, Minnesota. Mary K Vanreken practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary K Vanreken is 1609891639. The last update date is 2007-07-09.

Mary K Vanreken's current location address is 7800 Metro Pkwy Ste 300, Bloomington, Minnesota. You can contact this provider via phone number 9528544116 and fax number 9528544199. The mailing address for Mary K Vanreken is 7800 Metro Pkwy Ste 300, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary K Vanreken
Address 7800 Metro Pkwy Ste 300, Bloomington, Minnesota
Phone Number 9528544116
Fax Number 9528544199
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1609891639
Provider Enumeration Date 2006-07-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 7800 Metro Pkwy Ste 300
City Bloomington
State Minnesota (MN)
Post Code 554251509
Phone Number 9528544116
Fax Number 9528544199

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP 3060
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
142661 FM UCARE-MN
64G50VA MN BCBSMN
337731 MN VALUE OPTIONS
61-52099 FM UBH
7201179 MN AETNA

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FAQs about Mary K Vanreken

What is the unique identifier code issued to Mary K Vanreken by the Centers for Medicare & Medicaid Services (CMS)?

The Mary K Vanreken has been assigned the NPI (National Provider Identifier) 1609891639. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Mary K Vanreken?

The Mary K Vanreken is physically situated at 7800 Metro Pkwy Ste 300, in the city of Bloomington, state of MN, with the postal code 554251509.

What is Mary K Vanreken's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary K Vanreken is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

When did the Mary K Vanreken receive its 1609891639?

The Mary K Vanreken was issued its 1609891639 on 2006-07-12, which is the date when the organization was assigned this unique identifier.

When was the Mary K Vanreken's information last updated?

The Mary K Vanreken's information was last updated on 2007-07-09.

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