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Mary Louise Wise, PHD,LP
Clinical Psychologist in Mpls, Minnesota
NPI 1649248550

Mary Louise Wise is a Clinical Psychologist based in Mpls, MN and is specialized in Clinical. Mary Louise Wise practices in Mpls, MN and has the professional credentials of PHD,LP. The NPI Number for Mary Louise Wise is 1649248550 and holds a License No. LP2784 (Minnesota).

The current practice location address for Mary Louise Wise is 2 E. Franklin Ave., Mpls, MN and can be reached out via phone at 952-451-8199.

Location: 2 E. Franklin Ave., Mpls, MN, 55403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649248550
Provider Name
Mary Louise Wise
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Female
Address
2 E. Franklin Ave., Mpls, MN, 55403
Phone Number
952-451-8199
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19356WI 01 MN BLUE CROSS BLUE SHIELD MN
1F233WI 01 MN BCBS INDIVIDUAL #
institution
Provider Business Practice Location Address Details
Address
2 E. Franklin Ave.
City
Mpls
State
Minnesota
Zip
55403
Phone Number
952-451-8199
Fax Number
person
Provider Business Mailing Address Details
Address
2 E. Franklin Ave.
City
Mpls
State
Minnesota
Zip
55403
Phone Number
952-451-8199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP2784 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP2784 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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