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Individual

MARY ANN MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LP

Contact information

Practice address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(651) 647-1900
(651) 647-1861
Mailing address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(651) 647-1900
(651) 647-1861

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3687
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275551749
MN
Enumeration date
07/17/2006
Last updated
12/13/2017
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