Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie A Diaz Varona, PSYD, LP

Individual provider Clinical Psychologist · NPI 1720611148

Marie A Diaz Varona, PSYD, LP is a Clinical Psychologist in Maple Grove, Minnesota. Graduated from Ponce School of Medicine in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Trained at
Ponce School of Medicine
Licensed in
MN
In the registry since
2020
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

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 — (612) 886-2524

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6508 (MN)

Record details

NPI number1720611148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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