Individual
MARY COLLEEN MORRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3340 REPUBLIC AVE STE 120, ST LOUIS PARK, MN 55426-4189
(651) 705-6892
Mailing address
3340 REPUBLIC AVE STE 120, ST LOUIS PARK, MN 55426-4189
(651) 705-6892
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
06/17/2019
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