Palmer, Mary Anna

Palmer, Mary Anna is an sole proprietor health care provider with primary practice located at 2121 Cliff Dr Ste 112 , Eagan MN 55122-3335. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Palmer, Mary Anna can be contacted via phone (612) 920-3745.

Contact Information

Primary practice address
2121 Cliff Dr Ste 112 Eagan MN 55122-3335
Phone: (612) 920-3745
Fax: (612) 276-5740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4058 Minnesota

Profile Details

NPI number 1588726806
LBN Legal business name Palmer, Mary Anna
Credentials LICSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jan 21st, 2021 - about 5 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 1588726806 NPPES
Minnesota MEDICAID 053858200

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