Mary L. Wandrei in Shoreview - Clinical Child & Adolescent
Mary L. Wandrei - NPI 1124206818
Mary L. Wandrei is a Clinical Child & Adolescent in Shoreview, Minnesota. Mary L. Wandrei practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mary L. Wandrei is 1124206818. The last update date is 2008-02-05.
Mary L. Wandrei's current location address is 4325 Virginia Ave, Shoreview, Minnesota. You can contact this provider via phone number 6517557875. The mailing address for Mary L. Wandrei is 4325 Virginia Ave, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary L. Wandrei |
|---|---|
| Address | 4325 Virginia Ave, Shoreview, Minnesota |
| Phone Number | 6517557875 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1124206818 |
|---|---|
| Provider Enumeration Date | 2008-02-05 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 4325 Virginia Ave |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551262381 |
| Phone Number | 6517557875 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 4875 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code issued to Mary L. Wandrei by the Centers for Medicare & Medicaid Services?
The Mary L. Wandrei has been assigned the NPI (National Provider Identifier) 1124206818 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary L. Wandrei is geographically located?
The Mary L. Wandrei is physically situated at the following location: 4325 Virginia Ave, Shoreview, MN, 551262381.
What is Mary L. Wandrei's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary L. Wandrei is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
When was the Mary L. Wandrei's 1124206818 issued?
The Mary L. Wandrei's 1124206818 was issued on 2008-02-05.
When was the Mary L. Wandrei's information last updated?
The Mary L. Wandrei's information was last updated on 2008-02-05.
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