Dockendorf, Mara Rose

Dockendorf, Mara Rose is an individual health care provider with primary practice located at 310 Clifton Ave , Minneapolis MN 55403-3218. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Dockendorf, Mara Rose can be contacted via phone (612) 223-8898.

Contact Information

Primary practice address
310 Clifton Ave Minneapolis MN 55403-3218
Phone: (612) 223-8898
Fax: (612) 223-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC01251 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6445 Minnesota

Profile Details

NPI number 1588014054
LBN Legal business name Dockendorf, Mara Rose
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Sep 16th, 2019 - about 7 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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