Mueller Theisen, Marci Marie

Mueller Theisen, Marci Marie is an individual health care provider with primary practice located at 11280 86Th Ave N , Maple Grove MN 55369-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mueller Theisen, Marci Marie can be contacted via phone (763) 400-7828.

Contact Information

Primary practice address
11280 86Th Ave N Maple Grove MN 55369-4510
Phone: (763) 400-7828
Fax: (763) 400-7444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4697 Minnesota

Profile Details

NPI number 1578697173
LBN Legal business name Mueller Theisen, Marci Marie
Credentials PSYD, CPRP, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated May 23rd, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578697173 NPPES
Minnesota MEDICAID 328687800
Minnesota Other H400137396

Popular Providers