Van Slyke, Marjorie Ann

Van Slyke, Marjorie Ann is an sole proprietor health care provider with primary practice located at 4021 Vernon Ave S , St Louis Park MN 55416-2801. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Van Slyke, Marjorie Ann can be contacted via phone (952) 927-4609.

Contact Information

Primary practice address
4021 Vernon Ave S St Louis Park MN 55416-2801
Phone: (952) 927-4609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC00004 Minnesota

Profile Details

NPI number 1093968703
LBN Legal business name Van Slyke, Marjorie Ann
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2008
Last updated Apr 14th, 2015 - about 10 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.

Request for update

Popular Providers