Mary Marty is a Psychologist in Buffalo, Minnesota. Mary Marty practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Marty is 1356449391. The last update date is 2007-07-08.
Mary Marty's current location address is 102 Marty Dr, Buffalo, Minnesota. You can contact this provider via phone number 7636825420 and fax number 7636825803. The mailing address for Mary Marty is 102 Marty Dr, Buffalo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Marty |
|---|---|
| Address | 102 Marty Dr, Buffalo, Minnesota |
| Phone Number | 7636825420 |
| Fax Number | 7636825803 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1356449391 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Marty Dr |
|---|---|
| City | Buffalo |
| State | Minnesota (MN) |
| Post Code | 55313 |
| Phone Number | 7636825420 |
| Fax Number | 7636825803 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3295 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67D67MA | MN | BLUE CROSS BLUE SHIELD | |
| 110564 | MN | UCARE | |
| 1007832 | MN | PREFERRED ONE | |
| 62-00625 | MN | MEDICA | |
| HP18920 | MN | HEALTHPARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Marty by the Centers for Medicare & Medicaid Services?
The Mary Marty has been assigned the NPI (National Provider Identifier) 1356449391 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Marty?
The Mary Marty is physically situated at 102 Marty Dr, in the city of Buffalo, state of MN, with the postal code 55313.
What is Mary Marty'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 Marty is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When was the Mary Marty's 1356449391 issued?
The Mary Marty's 1356449391 was issued on 2006-09-21.
When was the Mary Marty's information last updated?
The Mary Marty's information was last updated on 2007-07-08.