| Mariken Wogstad-hansen, Phd, Llc | |
|
91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 | |
| (651) 603-0540 | |
| (651) 603-0541 |
| Full Name | Mariken Wogstad-hansen, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 91 Snelling Ave N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mariken Wogstad-hansen (PHD, LP, RN, CNS) |
| Authorized Official Contact | 6516030540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariken Wogstad-hansen, Phd, Llc 91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 Ph: (651) 603-0540 | Mariken Wogstad-hansen, Phd, Llc 91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 Ph: (651) 603-0540 |
| NPI Number | 1720382062 |
|---|---|
| Provider Enumeration Date | 12/30/2010 |
| Last Update Date | 12/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720382062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | (* (Not Available)) | Secondary |
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