| Mary Katherine Verkennes, MA LP | |
|
25039 East Clark Lake Road, Nisswa, MN 56468 | |
| (218) 963-2657 | |
| (218) 963-4692 |
| Full Name | Mary Katherine Verkennes |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 25039 East Clark Lake Road, Nisswa, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972649846 | NPI | - | NPPES |
| 11806VE | Other | MN | BCBS PROVIDER ID |
| 6235127 | Other | MN | MEDICA AND BHP PROVIDER # |
| 126422 | Other | MN | UCARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP0386 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Katherine Verkennes, MA LP Po Box 777, Nisswa, MN 56468-0777 Ph: (218) 963-2657 | Mary Katherine Verkennes, MA LP 25039 East Clark Lake Road, Nisswa, MN 56468 Ph: (218) 963-2657 |
Cathy Liane, MSLP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4820 County Road 77, Nisswa, MN 56468 Phone: 218-821-4923 Fax: 218-961-4923 |