Cusack, Nancy Marie

Cusack, Nancy Marie is an individual health care provider with primary practice located at 425 Coon Rapids Blvd Nw Ste 200 Suite 100, Coon Rapids MN 55433-2753. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Cusack, Nancy Marie can be contacted via phone (763) 784-3008.

Contact Information

Primary practice address
425 Coon Rapids Blvd Nw Ste 200 Suite 100 Coon Rapids MN 55433-2753
Phone: (763) 784-3008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 3907 Minnesota

Profile Details

NPI number 1639232804
LBN Legal business name Cusack, Nancy Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Dec 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639232804 NPPES
Minnesota Other HP 37869 HEALTH PARTNERS
Minnesota MEDICAID 201945100 HEALTH PARTNERS

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