Dr Mara Rose Dockendorf, PSYD is a
Psychologist based in Minneapolis, Minnesota. Dr Mara Rose Dockendorf is licensed to practice in Minnesota (license number LP6445) and her current practice location is
310 Clifton Ave, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 223-8898.
NPI number for Dr Mara Rose Dockendorf is 1588014054 and her current mailing address is 310 Clifton Ave, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588014054.
Healthcare Provider's Profile
| Full Name | Dr Mara Rose Dockendorf |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 310 Clifton Ave, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588014054
- Provider Enumeration Date: 06/15/2016
- Last Update Date: 09/16/2019
Medical Identifiers
Medical identifiers for Dr Mara Rose Dockendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588014054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | CC01251 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP6445 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mara Rose Dockendorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mara Rose Dockendorf, PSYD
310 Clifton Ave,
Minneapolis, MN 55403-3218
Ph: (612) 223-8898 | Dr Mara Rose Dockendorf, PSYD
310 Clifton Ave,
Minneapolis, MN 55403-3218
Ph: (612) 223-8898 |
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