Doctor Name: | MARY C MAYRAND-STERNHAGEN |
NPI Number: | 1073676631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC MH |
License Number: | LPC-MH2118 |
Business Practice Address: | Heartland Psychological Services 904 W 23rd St Ste 101 Yankton, SD - 57078 |
Business Phone Number: | 6056650841 |
Business Fax Number: | 6056650096 |
Mailing Address: | Heartland Psychological Services, 904 W 23rd St Ste 101 YANKTON |
State: | SD |
Postal Code: | 57078 |
Phone Number: | 6056650841 |
Fax Number: | 6056650096 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-MH2118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |