Youngquist, Mary Elizabeth

Youngquist, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 91 Snelling Ave N Suite 220, Saint Paul MN 55104-6753. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Youngquist, Mary Elizabeth can be contacted via phone (651) 642-9066.

Contact Information

Primary practice address
91 Snelling Ave N Suite 220 Saint Paul MN 55104-6753
Phone: (651) 642-9066
Fax: (651) 690-5573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 0980 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP 0980 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X LP 0980 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 0980 Minnesota

Profile Details

NPI number 1548376395
LBN Legal business name Youngquist, Mary Elizabeth
Credentials PH.D. L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 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 1548376395 NPPES
Minnesota Other 8L314YO BLUE CROSS BLUE SHIDL

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