Organization
MARY R. BOEHLKE PSY.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BOEHLKE PSY.D. (PRESIDENT)
(952) 545-6800
Entity
Organization
Contact information
Practice address
1660 HIGHWAY 100 S, STE. 568, ST LOUIS PARK, MN 55416-1529
(952) 545-6800
Mailing address
17935 2ND AVE N, PLYMOUTH, MN 55447-3486
(763) 476-4924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MN LP0708
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G182BO
BLUE CROSS OF MN
MN
Enumeration date
07/10/2007
Last updated
07/10/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us