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

Mary Mullenbach, PHD, LP

Individual provider Clinical Psychologist · NPI 1235351826

Mary Mullenbach, PHD, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2000, 26 years ago. Practices with Mary Mullenbach PHD LP Inc, an 18-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6550 York Ave S Ste 503
Minneapolis, MN 55435
Phone: (952) 426-3034
Fax: (612) 540-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4360 (MN)

Record details

NPI number1235351826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESSeptember 6, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mary Mullenbach Phd Lp Inc — 18 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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