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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARIETTA MUME HOOGS, PHD, LP, ABPP

Active

DR. MARIETTA MUME HOOGS, PHD, LP, ABPP is a Clinical Neuropsychologist healthcare provider located in BURNSVILLE, Minnesota. NPI 1497019475 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · BURNSVILLE, MN

Registration Details

NPI Number
1497019475
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2012 (14.165610938495 yrs)
Last Updated
May 18, 2022
Licenses
071008806 (IL)
LP5639 (MN)

Practice Information

Address
501 E NICOLLET BLVD STE 100
BURNSVILLE, MN, 553376772
Browse MN providers · Browse ZIP 55337
Phone
9524358516
Fax
7633024336
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
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.