Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARA D PEASE, PSYD, LP
DeactivatedMARA D PEASE, PSYD, LP is a Psychologist healthcare provider located in ST PAUL, Minnesota. NPI 1548610561 is deactivated in the NPPES registry. Verify at CMS.
Psychologist · ST PAUL, MN
This NPI has been deactivated.
The record was deactivated on October 2, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548610561
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2016 (1.2821917808219 yrs)
- Last Updated
- Jul 30, 2018
- Deactivated
- Oct 2, 2017
- License
-
LP6204 (MN)
Practice Information
- Address
-
1600 UNIVERSITY AVE WSUITE 12ST PAUL, MN, 55104Browse MN providers · Browse ZIP 55104
- Phone
- 6513795157
- Fax
- 6513795159
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in ST PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| ABIGAIL HADASSAH GEWIRTZ | PHD, LP | 1750368353 |
| MAUREEN E GLUEK | PSYD-LP | 1285690115 |
| MS. MARIANNE P KELLEY | PSYD LP | 1144286758 |
| JENNIFER LYNN OSTERGAARD | PSYD | 1174573778 |
| GERARD BERNARD FOO | PHD LP | 1700803772 |
| DONA LYN MATHEWS | PSY.D., LP | 1699795542 |
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.