Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mara Rose Dockendorf, PSYD

Individual provider Professional Counselor · NPI 1588014054

Dr. Mara Rose Dockendorf, PSYD is a Professional Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

310 Clifton Ave
Minneapolis, MN 55403-3218
Phone: (612) 223-8898
Fax: (612) 223-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6445 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence CC01251 (MN)

Record details

NPI number1588014054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESSeptember 16, 2019

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