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Dr. Mary Jane Whiteside, PHD,LP
Psychologist in Red Wing, Minnesota
NPI 1083780829

Mary Jane Whiteside is a Psychologist based in Red Wing, MN. Mary Jane Whiteside practices in Red Wing, MN and has the professional credentials of PHD,LP. The NPI Number for Mary Jane Whiteside is 1083780829 and holds a License No. LP3361 (Minnesota).

The current practice location address for Mary Jane Whiteside is 217 Plum St, Red Wing, MN and can be reached out via phone at 651-388-4302 and via fax at 651-385-9052.

Location: 217 Plum St, Red Wing, MN, 55066-2351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083780829
Provider Name
Mary Jane Whiteside
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Female
Address
217 Plum St, Red Wing, MN, 55066-2351
Phone Number
651-388-4302
Fax Number
651-385-9052
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167752 01 MN UCARE
108480 01 MN HEALTHPARTNERS
132T8WH 01 MN BLUECROSS BLUESHIELD(IND)
1027089 01 MN PREFERREDONE
132T7WH 01 MN BLUECROSS BLUESHIELD(GRP)
61-68825 01 MN UNITED BEHAVIORAL HEALTH
(NO NUMBER) 01 MN MMSI (MAYO)
institution
Provider Business Practice Location Address Details
Address
217 Plum St
City
Red Wing
State
Minnesota
Zip
55066-2351
Phone Number
651-388-4302
Fax Number
651-385-9052
person
Provider Business Mailing Address Details
Address
217 Plum St
City
Red Wing
State
Minnesota
Zip
55066-2351
Phone Number
651-388-4302
Fax Number
651-385-9052
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP3361 (Minnesota)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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