Bauer, Mary

Bauer, Mary is an sole proprietor health care provider with primary practice located at 110 1St St E Ste 102 , Jordan MN 55352-1502. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Bauer, Mary can be contacted via phone (651) 356-5234.

Contact Information

Primary practice address
110 1St St E Ste 102 Jordan MN 55352-1502
Phone: (651) 356-5234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1033529664
LBN Legal business name Bauer, Mary
Credentials MA, LADC, MFT INTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated Jan 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033529664 NPPES
Minnesota Other 1033529664 MENTAL HEALTH AND SUBSTANC E ABUSE
Minnesota MEDICAID 1033529664 MENTAL HEALTH AND SUBSTANC E ABUSE

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