Provider Demographics
NPI:1699063727
Name:HEMMING, MARIETTA NEL (M ED)
Entity type:Individual
Prefix:
First Name:MARIETTA
Middle Name:NEL
Last Name:HEMMING
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:MARIETTA
Other - Middle Name:NEL
Other - Last Name:JANECKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3278 ALDEN POND LN
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2816
Mailing Address - Country:US
Mailing Address - Phone:651-263-5697
Mailing Address - Fax:
Practice Address - Street 1:1160 CENTRE POINTE DRIVE
Practice Address - Street 2:STE 7
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120
Practice Address - Country:US
Practice Address - Phone:952-401-9359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst