Wandrei, Mary L.
Wandrei, Mary L. is an sole proprietor health care provider with primary practice located at 4325 Virginia Ave , Shoreview MN 55126-2381. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wandrei, Mary L. can be contacted via phone (651) 755-7875.Contact Information
Primary practice address
4325 Virginia Ave
Shoreview MN 55126-2381
Phone: (651) 755-7875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 4875 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4875 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4875 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 4875 | Minnesota |
Profile Details
| NPI number | 1124206818 |
|---|---|
| LBN Legal business name | Wandrei, Mary L. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2008 |
| Last updated | Feb 5th, 2008 - about 18 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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