Mary Louise Dennis, LP, LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3506 Issued in MN

Practice address

1530 Greenview Dr SW Ste 201a
Rochester, MN 55902-4327

Phone

(507) 280-4053

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1609041243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 HWY 52 N # 164",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010108",
            "telephone_number": "507-280-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 GREENVIEW DR SW STE 201A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024327",
            "telephone_number": "507-280-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LP, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3506",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Demirsar, OT
• Ashley Rose Deng, LPCC
• Shanshan Deng, MD
• Chloe Dennis
• Kenneth L Dennis, PH.D.
• Sarah Jean Dennison
• Wendy Coleen Dennison, MST CCC-SLP
• Debra D Denny, C.R.N.A.
• Emily Joy Lili'Iwailehua Deno, DPT
• Anthony Carmen-Joseph Denovio, M.D.

• Psychologist in Rochester, MN
• Providers in Rochester, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.