Individual provider · Type 1 NPI
Mary Ruth Boehlke, PSY.D.
Psychologist · Minneapolis, MN
Practice location
1660 Highway 100 S, Ste. 568
Minneapolis, MN 55416-1529
Mailing address
17935 2nd Ave N
Plymouth, MN 55447-3486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | MN LP0708 (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 1609855956
Mary Ruth Boehlke, PSY.D.'s National Provider Identifier is 1609855956, issued on Jan 14, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 10, 2007.