Mary R. Boehlke Psy.d. P.c.
NPI #1801094982 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1801094982
- Entity Type
- Organization
- Organization Name
- Mary R. Boehlke Psy.d. P.c.
- Primary Specialty
- Psychologist
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 1660 HIGHWAY 100 S
- Address 2
- STE. 568
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-1529
- Phone
- (952) 545-6800
Authorized Official
- Name
- DR. MARY BOEHLKE, PSY.D.
- Title
- PRESIDENT
- Phone
- (952) 545-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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