Individual
MRS. MARCELLA PLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LP
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(952) 548-8760
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(952) 548-8760
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 2083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020045
PREFERRED ONE
MN
01
—
128337
UCARE
MN
01
—
20659
SIOUX VALLEY HEALTH
MN
01
—
55P77RO
BLUE CROSS BLUE SHIELD
MN
01
—
62-63834
MEDICA
MN
05
—
843253800
—
MN
01
—
HP37852
HEALTH PARTNERS
MN
Enumeration date
08/13/2006
Last updated
03/20/2018
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