Individual
DR. MARY ELIZABETH YOUNGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. L.P.
Contact information
Practice address
91 SNELLING AVE N, SUITE 220, SAINT PAUL, MN 55104-6753
(651) 642-9066
(651) 690-5573
Mailing address
91 SNELLING AVE N, SUITE 220, SAINT PAUL, MN 55104-6753
(651) 642-9066
(651) 690-5573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 0980
MN
103TC0700X
Clinical Psychologist
LP 0980
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP 0980
MN
103TF0200X
Forensic Psychologist
LP 0980
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L314YO
BLUE CROSS BLUE SHIDL
MN
Enumeration date
08/22/2006
Last updated
09/11/2025
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