Shelley Marie Mydra, MA, LMFT in Minnetonka, MN - Marriage & Family Therapist

Shelley Marie Mydra, MA, LMFT is a Marriage & Family Therapist based in Minnetonka, Minnesota. Shelley Marie Mydra is licensed to practice in Minnesota (license number 1861) and her current practice location is 5523 Wingwood Ct, Minnetonka, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 484-1888.

NPI number for Shelley Marie Mydra is 1104136134 and her current mailing address is 5523 Wingwood Ct, Minnetonka, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104136134.

Contact Information

	Shelley Marie Mydra, MA, LMFT
	5523 Wingwood Ct, Minnetonka, MN 55345-5660
	(952) 484-1888
	Not Available

Healthcare Provider's Profile

Full Name	Shelley Marie Mydra
Gender	Female
Speciality	Marriage & Family Therapist
Location	5523 Wingwood Ct, Minnetonka, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1104136134
Provider Enumeration Date: 10/08/2010
Last Update Date: 10/08/2010

Medical Identifiers

Medical identifiers for Shelley Marie Mydra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104136134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1861 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley Marie Mydra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelley Marie Mydra, MA, LMFT 5523 Wingwood Ct, Minnetonka, MN 55345-5660 Ph: (952) 484-1888	Shelley Marie Mydra, MA, LMFT 5523 Wingwood Ct, Minnetonka, MN 55345-5660 Ph: (952) 484-1888

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Shelley Marie Mydra, MA, LMFT - Couples Therapy in Minnetonka, MN