Individual
MARLENE MCEWAN
Active
Individual
MARLENE MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1539
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289G9MC
BCBS
MN
01
—
3041201
BHP
MN
01
—
6252930
MEDICA CHOICE
MN
01
—
HP16726
HEALTHPARTNERS
MN
Enumeration date
11/29/2006
Last updated
07/08/2007
Update your record
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