Organization · Type 2 NPI

Mary R. Boehlke Psy.d. P.c.

Psychologist · St. Louis Park, MN

NPI number 1801094982 Active

Practice location

1660 Highway 100 S, Ste. 568
St. Louis Park, MN 55416-1529

Call (952) 545-6800 Map

Mailing address

17935 2nd Ave N
Plymouth, MN 55447-3486

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XMN 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 1801094982

Mary R. Boehlke Psy.d. P.c.'s National Provider Identifier is 1801094982, issued on Jul 10, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 10, 2007.