Individual provider · Type 1 NPI

Mara D. Pease, PSYD, LP

Psychologist · St. Paul, MN

NPI number 1548610561 Active · reactivated Feb 20, 2018

Practice location

1600 University Ave W, Suite 12
St. Paul, MN 55104

Fax (651) 379-5159

Other practice locations

  • 1310 Highway 96 E, Suite 200, White Bear Lake, MN 55110-3619 · (651) 379-5157

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Psychologist Primary 103T00000XLP6204 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1548610561

Mara D. Pease, PSYD, LP's National Provider Identifier is 1548610561, issued on Jun 21, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 30, 2018.