IndividualActive
Mary Woodward, MA, LP
NPI 1205982279 · Family Psychologist · Burnsville, MN
Provider details
- NPI number
- 1205982279
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP 3003 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
13800 Nicollet Blvd Unit 1612
Burnsville, MN 55337-6134
Phone: (612) 803-1953
Fax: (651) 454-9494
Approximate (ZIP-level) locationGet directions
Mailing address
13800 Nicollet Blvd Unit 1612
Burnsville, MN 55337-6134
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.