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

MARK R FASTNER, MA LP

Active

MARK R FASTNER, MA LP is a Clinical Psychologist healthcare provider located in WOODBURY, Minnesota. NPI 1942278577 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WOODBURY, MN

Registration Details

NPI Number
1942278577
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2006 (20.407492811397 yrs)
Last Updated
Jul 8, 2007
License
2844 (MN)

Practice Information

Address
1811 WEIR DRIVE
SUITE 355 MAIL STOP 13701A
WOODBURY, MN, 551252273
Browse MN providers · Browse ZIP 55125
Phone
6517306151
Fax
6517301700
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WOODBURY, MN

Name Credential NPI
LAURA MCDANIELS PSY.D., L.P. 1578540175
DONNA ELLENA PETERSON MA LP 1013980374
JAMES A. MELAND PH.D., L.P. 1174590293
DR. LUANN MARIEDA KLINDWORTH-ERICKSON PH.D, LP 1174560932
DR. LORI ELMER MIGDAL PH.D. 1275575037
DR. JUDITH F. LAMP PH.D., LP 1902825888
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.