Mary G Mattison-Wynn in Coon Rapids - Psychologist
Mary G Mattison-Wynn - NPI 1649202755
Mary G Mattison-Wynn is a Psychologist in Coon Rapids, Minnesota. Mary G Mattison-Wynn practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary G Mattison-Wynn is 1649202755. The last update date is 2019-06-28.
Mary G Mattison-Wynn's current location address is 2401 Northdale Blvd Nw Ste 220, Coon Rapids, Minnesota. You can contact this provider via phone number 7635376000 and fax number 7635376666. The mailing address for Mary G Mattison-Wynn is 2401 Northdale Blvd Nw Ste 220, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G Mattison-Wynn |
|---|---|
| Address | 2401 Northdale Blvd Nw Ste 220, Coon Rapids, Minnesota |
| Phone Number | 7635376000 |
| Fax Number | 7635376666 |
| Sole Proprietor | N |
| Credentials | PSY D LP |
NPI Number Detail
| NPI Number | 1649202755 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2019-06-28 |
Provider Mailing Address Detail
| Address | 2401 Northdale Blvd Nw Ste 220 |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332923 |
| Phone Number | 7635376000 |
| Fax Number | 7635376666 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
|---|---|---|---|
| P426 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary G Mattison-Wynn by the Centers for Medicare & Medicaid Services?
The Mary G Mattison-Wynn has been assigned the NPI (National Provider Identifier) 1649202755. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary G Mattison-Wynn?
The Mary G Mattison-Wynn is situated at 2401 Northdale Blvd Nw Ste 220, in the city of Coon Rapids, state of MN, with the zip code 554332923.
What is Mary G Mattison-Wynn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary G Mattison-Wynn is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649202755 to Mary G Mattison-Wynn?
The Centers for Medicare & Medicaid Services originally issued the 1649202755 to Mary G Mattison-Wynn on 2006-07-07.
When was the Mary G Mattison-Wynn's information last updated?
The Mary G Mattison-Wynn's information was last updated on 2019-06-28.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT