Individual
MARY BETH PERLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 861-1688
(612) 728-5301
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 861-1688
(612) 728-5301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4060
CO
103T00000X
Psychologist
Primary
5767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
996743500
—
MN
Enumeration date
01/24/2007
Last updated
09/30/2014
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