Mary Ruth Boehlke in Minneapolis - Psychologist
Mary Ruth Boehlke - NPI 1609855956
Mary Ruth Boehlke is a Psychologist in Minneapolis, Minnesota. Mary Ruth Boehlke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Ruth Boehlke is 1609855956. The last update date is 2007-07-10.
Mary Ruth Boehlke's current location address is 1660 Highway 100 S, Minneapolis, Minnesota. You can contact this provider via phone number 9525456800. The mailing address for Mary Ruth Boehlke is 1660 Highway 100 S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Ruth Boehlke |
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Address | 1660 Highway 100 S, Minneapolis, Minnesota |
Phone Number | 9525456800 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1609855956 |
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Provider Enumeration Date | 2006-01-14 |
Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
Address | 1660 Highway 100 S |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554161529 |
Phone Number | 9525456800 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | MN LP0708 |
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 |
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1G186BO | MN | BLUE CROSS OF MN |
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What is the unique 10-digit identifier code issued to Mary Ruth Boehlke by the Centers for Medicare & Medicaid Services?
The Mary Ruth Boehlke has been assigned the NPI (National Provider Identifier) 1609855956 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 Ruth Boehlke?
The Mary Ruth Boehlke is physically situated at 1660 Highway 100 S, in the city of Minneapolis, state of MN, with the postal code 554161529.
What is Mary Ruth Boehlke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Ruth Boehlke's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609855956 to Mary Ruth Boehlke?
The Centers for Medicare & Medicaid Services assigned the 1609855956 to Mary Ruth Boehlke on 2006-01-14.
When was the information regarding Mary Ruth Boehlke most recently updated?
The details pertaining to the Mary Ruth Boehlke, including its address, specialty, and other relevant information, were last refreshed on 2007-07-10.
NPI Number: 1528061793
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