Individual
MS. MARY ANN ANDERS GOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
700 TWELVE OAKS CENTER DR, SUITE 734, WAYZATA, MN 55391-4401
(952) 406-1710
Mailing address
700 TWELVE OAKS CENTER DR, SUITE 734, WAYZATA, MN 55391-4401
(952) 406-1710
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
857725100
—
MN
Enumeration date
12/23/2005
Last updated
01/13/2014
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