Del Vecchio, Mary A
Del Vecchio, Mary A is an sole proprietor health care provider with primary practice located at 750 Main St Ste 100 , Saint Paul MN 55118-3765. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Del Vecchio, Mary A can be contacted via phone (651) 233-8036.Contact Information
Primary practice address
750 Main St Ste 100
Saint Paul MN 55118-3765
Phone: (651) 233-8036
Fax: (715) 684-6776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 235026 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3846-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC00915 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MN00915 | Minnesota |
Profile Details
| NPI number | 1356498901 |
|---|---|
| LBN Legal business name | Del Vecchio, Mary A |
| Credentials | PSYD, CRC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356498901 | NPPES |
| Wisconsin | MEDICAID | ATN65153 |
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