Mary R. Boehlke Psy.D. P.C.

LBN: Mary R. Boehlke Psy.D. P.C.
Mary R. Boehlke Psy.D. P.C. is an health care organization with primary practice located at 1660 Highway 100 S Ste. 568, St Louis Park MN 55416-1529. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Mary R. Boehlke Psy.D. P.C. can be contacted via phone (952) 545-6800, or through Boehlke, Mary via phone (952) 545-6800.

Contact Information

Primary practice address
1660 Highway 100 S Ste. 568 St Louis Park MN 55416-1529
Phone: (952) 545-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boehlke, Mary PSY.D.
Phone: (952) 545-6800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X MN LP0708 Minnesota

Profile Details

NPI number 1801094982
LBN Legal business name Mary R. Boehlke Psy.D. P.C.
DBA Doing business as
Authorized official Boehlke, Mary PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801094982 NPPES
Minnesota Other 1G182BO BLUE CROSS OF MN

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