Individual
MARY LYNN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
11900 WAYZATA BLVD, SUITE 216, MINNETONKA, MN 55305-2031
(952) 546-0700
(952) 546-0700
Mailing address
11900 WAYZATA BLVD, SUITE 216, MINNETONKA, MN 55305-2031
(952) 546-0700
(952) 546-0700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3184
MN
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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