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Contact Information

MARY MARTY, LP
102 MARTY DR
BUFFALO, MN55313
 Phone: 763-682-5420
 Fax: 763-682-5803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY MARTY · (Female)

NPI Number 1356449391
Status Active
Credentials LP
Entity Individual
Enumeration date 09/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP3295
  • MN Other 67D67MA BLUE CROSS BLUE SHIELD
  • MN Other HP18920 HEALTHPARTNERS
  • MN Other 62-00625 MEDICA
  • MN Other 1007832 PREFERRED ONE
  • MN Other 110564 UCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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