Harlow, Mary Louise
Harlow, Mary Louise is an sole proprietor health care provider with primary practice located at 3100 W Lake St #320, Minneapolis MN 55416-4527. She recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as her primary health care specialty. Harlow, Mary Louise can be contacted via phone (612) 922-6578.Contact Information
Primary practice address
3100 W Lake St #320
Minneapolis MN 55416-4527
Phone: (612) 922-6578
Fax: (612) 929-9006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | LP4420 | Minnesota |
Profile Details
| NPI number | 1154490258 |
|---|---|
| LBN Legal business name | Harlow, Mary Louise |
| Credentials | PSYD, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jun 4th, 2010 - about 14 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 | 1154490258 | NPPES |
| Minnesota | MEDICAID | 080939000 |
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