Provider Demographics
NPI:1104976331
Name:VER STEEY HALBERT, MARY ANN (PSYD RN LICENSED PSY)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:VER STEEY HALBERT
Suffix:
Gender:F
Credentials:PSYD RN LICENSED PSY
Other - Prefix:
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Mailing Address - Street 1:1660 SO HIGHWAY 100
Mailing Address - Street 2:STE 332
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-925-2203
Mailing Address - Fax:952-925-5972
Practice Address - Street 1:1660 SO HIGHWAY 100
Practice Address - Street 2:STE 332
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-925-2203
Practice Address - Fax:952-925-5972
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNLP2166103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist