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 provides Psychologist services 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 Not confirmed with CMS for 19 years — call before visiting
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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