Provider Demographics
NPI:1649608043
Name:MAYERHOFER, EMILY MARIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:MAYERHOFER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MARIE
Other - Last Name:SANDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1900 CENTRACARE CIR
Mailing Address - Street 2:2375
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-5000
Mailing Address - Country:US
Mailing Address - Phone:320-654-3654
Mailing Address - Fax:320-654-3696
Practice Address - Street 1:1900 CENTRACARE CIR
Practice Address - Street 2:2375
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-5000
Practice Address - Country:US
Practice Address - Phone:320-654-3654
Practice Address - Fax:320-654-3696
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS