DR. Mary Jane Whiteside, PHD, LP

NPI #1083780829 in Red Wing, Minnesota

Provider Information

NPI Number
1083780829
Entity Type
Individual
Name
DR. Mary Jane Whiteside, PHD, LP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD, LP
Enumeration Date
Nov 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
217 PLUM ST
Address 2
SUITE 140
ZIP Code
55066-2351
Phone
(651) 388-4302

Specialties & Taxonomy Codes

Specialty
Psychologist

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