Conner, Mary Elizabeth

Conner, Mary Elizabeth is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Family Life Mental Health Center, Coon Rapids MN 55433. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Conner, Mary Elizabeth can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Family Life Mental Health Center Coon Rapids MN 55433
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3985 Minnesota

Profile Details

NPI number 1992768451
LBN Legal business name Conner, Mary Elizabeth
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 10th, 2008 - about 17 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 1992768451 NPPES
Other 270052697 UBH
Other HP27005 UBH
MEDICAID 813225900 UBH
Other 286M4C0 UBH
Other 84G92CO UBH
Other 123202 UBH
Other 6250882 UBH
Other 1024500 UBH

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