Mary Kathleen Drake, AUDCCCA
Mary Kathleen Drake, AUDCCCA is a Qualified Audiologist in Moorhead, Minnesota. Qualified in 2004, 22 years ago. Practices with Minnesota State Colleges and Universities, a 13-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 22
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
1104 7th Ave South Msum Box 119Moorhead, MN 56563-0001
Phone: (218) 477-5953
Fax: (518) 477-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 7305 (MN) |
|---|
Record details
| NPI number | 1346332947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AUDCCCA |
| Sole proprietor | No |
| NPI enumerated | September 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Minnesota State Colleges And Universities — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Moorhead
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Minnesota State Colleges & Universities
1104 7th Ave South Msum Box 119, Moorhead, MN 56563-0001 · (218) 477-2330