Individual
DR. MARCI MARIE MYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3009
(612) 467-3183
Mailing address
1762 BAYARD AVE, SAINT PAUL, MN 55116-1436
(612) 467-3009
(612) 467-3183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1985
MN
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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