Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Mullenbach, PHD, LP, Inc

Organization Psychologist · NPI 1801182837

Mary Mullenbach, PHD, LP, Inc is a Psychologist in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6550 York Ave S Ste 503
Edina, MN 55435
Phone: (612) 801-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4360 (MN)

Record details

NPI number1801182837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mullenbach — President · (612) 801-3316
Other names Legacy Mental Health Center
NPI enumeratedJune 28, 2011
Last updated in NPPESAugust 23, 2018
Mailing address6550 York Ave. S., Suite 503, Edina, MN 55435-2336

Other providers in Edina