| Wandrei Psychological Services | |
|
1245 Gun Club Rd White Bear Lake MN 55110-3379 | |
| (651) 755-7875 | |
| Not Available |
| Full Name | Wandrei Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1245 Gun Club Rd, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Mary L. Wandrei (OWNER) |
| Authorized Official Contact | 6517557875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandrei Psychological Services 1245 Gun Club Rd White Bear Lake MN 55110-3379 Ph: (651) 755-7875 | Wandrei Psychological Services 1245 Gun Club Rd White Bear Lake MN 55110-3379 Ph: (651) 755-7875 |
| NPI Number | 1043093636 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043093636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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