MARY LYNN HENDRICKSON (NPI# 1164569612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164569612 |
| Entity Type | Individual |
| Full Name | MARY LYNN HENDRICKSON |
| Credential | PSY.D., LP |
| Practice Address |
11900 Wayzata Blvd Suite 216 Minnetonka MN 55305-2031 |
| Practice Telephone | 9525460700 |
| Practice Fax Number | 9525460700 |
| Mailing Telephone | 9525460700 |
| Mailing Fax Number | 9525460700 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3184 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365277 | Mary Ellen Hendrickson | Massage Therapist | 1623 13th Ave S, Great Falls, MT 59405-4705 | 2012-08-07 |
| 1457663288 | Mary Angeline Hendrickson | Counselor | 401 E. 10th Ave, Suite 330, Eugene, OR 97401 | 2010-07-09 |
| 1235303983 | Mary L Hendrickson | Pharmacist | 6101 N 64th St, Milwaukee, WI 53218-1543 | 2008-04-14 |
| 1699755561 | Mary Josephine Hendrickson | Psychologist | 5825 221st Place Se, Ste 201, Issaquah, WA 98027 | 2006-01-18 |
| 1588036511 | Mary Hendrickson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2015-10-29 |
| 1104177054 | Mary Hendrickson | Chiropractor | 201 Glen Ave, Scotia, NY 12302-2126 | 2012-10-01 |
| Street Address |
11900 WAYZATA BLVD SUITE 216 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531424 | Joan W. Lally | Social Worker | 11900 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-2031 | 2006-01-09 |
| 1457803413 | Dawn Mckee | Massage Therapist | 11900 Wayzata Blvd, Suite 110, Minnetonka, MN 55305-2031 | 2016-10-25 |
| 1568916187 | Karla Buerkle | Psychologist | 11900 Wayzata Blvd, Ste 216i, Minnetonka, MN 55305-2031 | 2016-08-11 |
| 1831576453 | Center for Women's Group Therapy | Counselor | 11900 Wayzata Blvd, Ste 200, Minnetonka, MN 55305-2031 | 2015-05-04 |
| 1164834214 | Gregory Ripley | Acupuncturist | 11900 Wayzata Blvd, Suite 110, Minnetonka, MN 55305-2031 | 2014-05-23 |
| 1922448620 | Avalon Programs, LLC | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-2031 | 2013-06-27 |
| 1124366927 | Jennifer Bennett | Psychologist | 11900 Wayzata Blvd, Suite 214, Minnetonka, MN 55305-2031 | 2013-01-29 |
| 1982926515 | Sarah L. Sander Psy.d.,lp, LLC | Psychologist | 11900 Wayzata Blvd, Suite 132, Minnetonka, MN 55305-2031 | 2010-02-23 |
| 1841522901 | Moniza Psychological Services | Psychologist | 11900 Wayzata Blvd, Suite 132, Minnetonka, MN 55305-2031 | 2010-01-31 |
| 1194059642 | Blossom Whole Family Therapy & Child Psychology Center, Pllc | Clinic/Center | 11900 Wayzata Blvd, Suite 216e, Minnetonka, MN 55305-2031 | 2009-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603541 | Minnetonka Counseling LLC | Psychologist | 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 | 2017-04-18 |
| 1144554858 | Clare N Buntrock | Psychologist | 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659 | 2009-09-28 |
| 1033267612 | Alecia Ann Viera | Psychologist | 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 | 2007-01-08 |
| 1407926363 | Rita A Benak | Psychologist | 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 | 2006-11-08 |
| 1720171382 | Peggy Susan Maki | Psychologist | 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 | 2006-10-02 |
| 1548370190 | Johanna Lee Lamm | Psychologist | 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 | 2006-08-30 |
| 1821106279 | Sara Elvabogestad Schilplin | Psychologist | 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 | 2006-08-27 |
| 1386757300 | Jacquelyn K. Wiersma | Psychologist | 3931 Auburn Dr, Minnetonka, MN 55305-5196 | 2006-08-16 |
| 1053325175 | Susan Kay Powers Olson | Psychologist | 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 | 2006-07-27 |
| 1114974201 | The Terrace Group Ltd | Psychologist | 10580 Wayzata Blvd, Ste 150, Minnetonka, MN 55305-1657 | 2006-05-27 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MARY LYNN HENDRICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.