Provider Demographics
NPI:1922604404
Name:VINJE, MERYLE J (MS)
Entity Type:Individual
Prefix:
First Name:MERYLE
Middle Name:J
Last Name:VINJE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7091 30TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:RUGBY
Mailing Address - State:ND
Mailing Address - Zip Code:58368-8403
Mailing Address - Country:US
Mailing Address - Phone:701-681-9037
Mailing Address - Fax:
Practice Address - Street 1:7091 30TH AVE NE
Practice Address - Street 2:
Practice Address - City:RUGBY
Practice Address - State:ND
Practice Address - Zip Code:58368-8403
Practice Address - Country:US
Practice Address - Phone:701-681-9037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional