Individual
MARY PETROSKO BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
790 W 66TH ST, RICHFIELD, MN 55423-2203
(612) 873-6963
(612) 904-4259
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6102
MN
Other
Enumeration date
08/26/2015
Last updated
06/17/2024
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