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

DR. MARK R THELEN, PSYD LP LMFT

Active Sole Proprietor

DR. MARK R THELEN, PSYD LP LMFT is a Psychologist healthcare provider located in MONTICELLO, Minnesota. NPI 1568425908 is currently active in the NPPES registry. Verify at CMS.

Psychologist · MONTICELLO, MN

Registration Details

NPI Number
1568425908
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2006 (20.320581390933 yrs)
Last Updated
Apr 21, 2021
Licenses
645 (MN)
LP2992 (MN)
Sole Proprietor
Yes

Practice Information

Address
261 E BROADWAY ST
MONTICELLO, MN, 553629317
Browse MN providers · Browse ZIP 55362
Phone
7633700243
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in MONTICELLO, MN

Name Credential NPI
MR. JON M KOLL MS CP 1376588798
MS. JAMIE J KUTZ PSYD 1376654368
SHANNON BREITKREUTZ L.P. 1538404736
GERALDINE SORELLY JARAMILLO 1386238541
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.