Mathieu, Holley J.

Mathieu, Holley J. is an individual health care provider with primary practice located at 823 Maple St , Brainerd MN 56401-3770. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mathieu, Holley J. can be contacted via phone (218) 841-2109.

Contact Information

Primary practice address
823 Maple St Brainerd MN 56401-3770
Phone: (218) 841-2109
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3062 Minnesota

Profile Details

NPI number 1669411526
LBN Legal business name Mathieu, Holley J.
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 14th, 2022 - 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 1669411526 NPPES
Minnesota MEDICAID 144528600
Minnesota Other 1016931
Minnesota Other 116591
Minnesota Other 51Q34AR
Minnesota Other HP24141
Minnesota Other 62-02903

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