Palmer, Mary Anna
Palmer, Mary Anna is an sole proprietor health care provider with primary practice located at 2121 Cliff Dr Ste 112 , Eagan MN 55122-3335. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Palmer, Mary Anna can be contacted via phone (612) 920-3745.Contact Information
Primary practice address
2121 Cliff Dr Ste 112
Eagan MN 55122-3335
Phone: (612) 920-3745
Fax: (612) 276-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4058 | Minnesota |
Profile Details
| NPI number | 1588726806 |
|---|---|
| LBN Legal business name | Palmer, Mary Anna |
| Credentials | LICSW, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jan 21st, 2021 - about 3 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 | 1588726806 | NPPES |
| Minnesota | MEDICAID | 053858200 |
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