Wogstad-Hansen, Mariken Ellen

Wogstad-Hansen, Mariken Ellen is an sole proprietor health care provider with primary practice located at 91 Snelling Ave N Suite 230, Saint Paul MN 55104-6753. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wogstad-Hansen, Mariken Ellen can be contacted via phone (651) 603-0540.

Contact Information

Primary practice address
91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753
Phone: (651) 603-0540
Fax: (651) 603-0541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3116 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3116 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X LP3116 Minnesota
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R0803692 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R0803692 Minnesota

Profile Details

NPI number 1780700039
LBN Legal business name Wogstad-Hansen, Mariken Ellen
Credentials PHD, LP, RN, CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 9th, 2007 - about 17 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 1780700039 NPPES
Minnesota Other 330L9WO BLUE CROSS, RN, CNS
Minnesota Other 385K0WO BLUE CROSS, RN, CNS

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