MS. MARY SUE ZAUDTKE M.A. LP
NPI 1669435368
Psychologist in Fridley, MN

Active since April 11, 2006
1250 MOORE LAKE DR E STE 220, FRIDLEY, MN 55432(952) 388-8990 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Sue Zaudtke M.a. Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SUE ZAUDTKE M.A. LP (NPI 1669435368) is an individual psychologist in Fridley, Minnesota, licensed in Minnesota (LP3667) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1669435368
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. MARY SUE ZAUDTKECredential: M.A. LP
Location Address1250 MOORE LAKE DR E STE 220Fridley, MN 55432-5135
Mailing Address1250 Moore Lake Dr E Ste 220Fridley, MN 55432-5135 · (952) 388-8990
Sole ProprietorYes
Enumeration DateApril 11, 2006
Last NPPES UpdateDecember 18, 2019
NPI 1669435368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3667
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1250 MOORE LAKE DR E STE 220, Fridley, MN 55432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Zaudtke's NPI number?

The NPI number for Mary Zaudtke is 1669435368. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Mary Zaudtke located?

Mary Zaudtke practices at 1250 Moore Lake Dr E Ste 220, Fridley, MN 55432. The listed phone number is (952) 388-8990.

What is Mary Zaudtke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Zaudtke was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.