Doctor Name: | DR. MARIE E. VOLBRECHT |
NPI Number: | 1265485866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 5566 |
Business Practice Address: | 2000 Old West Main St Ste. 302 Red Wing, MN - 550661987 |
Business Phone Number: | 6513097250 |
Business Fax Number: | 8883952387 |
Mailing Address: | 2000 Old West Main St, Ste. 302 RED WING |
State: | MN |
Postal Code: | 550661987 |
Phone Number: | 6513097250 |
Fax Number: | 8883952387 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 5566 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |