Mary Louise Wise, PHD, LP - Psychologist in Mpls, MN

Mary Louise Wise, PHD, LP is a Psychologist - Clinical based in Mpls, Minnesota. Mary Louise Wise is licensed to practice in Minnesota (license number LP2784) and her current practice location is 2 E. Franklin Ave., #6, Mpls, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 451-8199.

NPI number for Mary Louise Wise is 1649248550 and her current mailing address is 2 E. Franklin Ave., #6, Mpls, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649248550.

Contact Information

Mary Louise Wise, PHD, LP
2 E. Franklin Ave., #6,
Mpls, MN 55403
(952) 451-8199
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Louise Wise
GenderFemale
SpecialityPsychologist - Clinical
Location2 E. Franklin Ave., Mpls, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649248550
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Louise Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649248550NPI-NPPES
19356WIOtherMNBLUE CROSS BLUE SHIELD MN
1F233WIOtherMNBCBS INDIVIDUAL #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP2784 (Minnesota)Primary
103TC0700XPsychologist - Clinical LP2784 (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. Mary Louise Wise 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 AddressPractice Location Address
Mary Louise Wise, PHD, LP
2 E. Franklin Ave., #6,
Mpls, MN 55403

Ph: (952) 451-8199
Mary Louise Wise, PHD, LP
2 E. Franklin Ave., #6,
Mpls, MN 55403

Ph: (952) 451-8199

Reviews and Comments


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