Individual
MRS. CYNTHIA RAE PARKER-NEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. L.P.
Contact information
Practice address
1111 CEDAR RIDGE LN SW, ORONOCO, MN 55960-1326
(507) 250-2605
Mailing address
1111 CEDAR RIDGE LN SW, ORONOCO, MN 55960-1326
(507) 250-2605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3663
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112D8PA, 32Q95PA
BCBS
FM
01
—
145013
MAYO MANAGEMENT INS.
MN
01
—
64981400
MEDICAL ASSISTANCE, DHS,
MN
Enumeration date
01/12/2007
Last updated
07/08/2007
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