Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY JANE WHITESIDE, PHD, LP
Active Sole ProprietorDR. MARY JANE WHITESIDE, PHD, LP is a Psychologist healthcare provider located in RED WING, Minnesota. NPI 1083780829 is currently active in the NPPES registry. Verify at CMS.
Psychologist · RED WING, MN
Registration Details
- NPI Number
- 1083780829
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2006 (19.683885327176 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP3361 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
217 PLUM STSUITE 140RED WING, MN, 550662351Browse MN providers · Browse ZIP 55066
- Phone
- 6513884302
- Fax
- 6513859052
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in RED WING, MN
| Name | Credential | NPI |
|---|---|---|
| KIM STACY BALDWIN | PHD LP | 1205801610 |
| DAVID L ROSEEN | PHD, LP | 1467427765 |
| DR. ELIZABETH JANE LORENTZEN | PSYD | 1811962871 |
| WILLIAM G CLAFTON | LP | 1457592040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.