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

Mary R. Boehlke PSYD PC

Organization Psychologist · NPI 1801094982

Mary R. Boehlke PSYD PC is a Psychologist in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1660 Highway 100 S Ste 568
St Louis Park, MN 55416-1529
Phone: (952) 545-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence MN LP0708 (MN)

Record details

NPI number1801094982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Boehlke — President · (952) 545-6800
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2007
Mailing address17935 2nd Ave N, Plymouth, MN 55447-3486

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