Pease, Mara D

Pease, Mara D is an individual health care provider with primary practice located at 1600 University Ave W Suite 12, St Paul MN 55104. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pease, Mara D can be contacted via phone (651) 379-5157.

Contact Information

Primary practice address
1600 University Ave W Suite 12 St Paul MN 55104
Phone: (651) 379-5157
Fax: (651) 379-5159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6204 Minnesota

Profile Details

NPI number 1548610561
LBN Legal business name Pease, Mara D
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jul 30th, 2018 - about 8 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

Popular Providers