Mckenna, Mary Catherine

Mckenna, Mary Catherine is an sole proprietor health care provider with primary practice located at 1316 Knollwood Ln , Mendota Heights MN 55118-1739. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mckenna, Mary Catherine can be contacted via phone (651) 552-6762.

Contact Information

Primary practice address
1316 Knollwood Ln Mendota Heights MN 55118-1739
Phone: (651) 552-6762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0831 Minnesota

Profile Details

NPI number 1053397646
LBN Legal business name Mckenna, Mary Catherine
Credentials M.A., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 19 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 1053397646 NPPES
Minnesota Other 336K4MC BLUE CROSS BLUE SHIELD
Minnesota Other 336K5MC BLUE CROSS BLUE SHIELD

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