Mary Mullenbach in Minneapolis - Clinical

Mary Mullenbach - NPI 1235351826

Mary Mullenbach is a Clinical in Minneapolis, Minnesota. Mary Mullenbach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Mullenbach is 1235351826. The last update date is 2018-09-06.

Mary Mullenbach's current location address is 6550 York Ave. S., Minneapolis, Minnesota. You can contact this provider via phone number 9524263034 and fax number 6125400460. The mailing address for Mary Mullenbach is 6550 York Ave. S., Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Mullenbach
Address 6550 York Ave. S., Minneapolis, Minnesota
Phone Number 9524263034
Fax Number 6125400460
Sole Proprietor N
Credentials PHD, LP

NPI Number Detail

NPI Number 1235351826
Provider Enumeration Date 2007-05-03
Last Updated Date 2018-09-06

Provider Mailing Address Detail

Address 6550 York Ave. S.
City Minneapolis
State Minnesota (MN)
Post Code 554352336
Phone Number 9524263034
Fax Number 6125400460

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP4360
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1235351826 MN --

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FAQs about Mary Mullenbach

What is the unique provider identifier assigned to Mary Mullenbach?

The Mary Mullenbach has been issued the NPI (National Provider Identifier) 1235351826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Mary Mullenbach is geographically located?

The Mary Mullenbach is physically situated at the following location: 6550 York Ave. S., Minneapolis, MN, 554352336.

What is Mary Mullenbach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Mullenbach is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

When did Mary Mullenbach receive its 1235351826 assignment?

The Mary Mullenbach was assigned its 1235351826 on 2007-05-03, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Mary Mullenbach most recently updated or revised?

The information pertaining to Mary Mullenbach, including its address, specialty, and other relevant details, was last updated or revised on 2018-09-06.

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