Individual
DR. MARY PATRICIA NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7900
(651) 254-7904
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 254-7900
(651) 254-7904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3355
MN
103TC0700X
Clinical Psychologist
3218
MD
103TC0700X
Clinical Psychologist
Primary
LP3355
MN
Other
Enumeration date
03/27/2008
Last updated
11/01/2016
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