Martin J. Schoen, Psy.d., L.l.c. | |
2096 Fairways Ln Saint Paul MN 55113-3813 | |
(651) 503-9852 | |
(651) 788-9554 |
Full Name | Martin J. Schoen, Psy.d., L.l.c. |
---|---|
Speciality | Psychologist |
Location | 2096 Fairways Ln, Saint Paul, Minnesota |
Authorized Official Name and Position | Martin J. Schoen (LICENSED PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 6515039852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Martin J. Schoen, Psy.d., L.l.c. Po Box 130891 Saint Paul MN 55113-0008 Ph: (651) 503-9852 | Martin J. Schoen, Psy.d., L.l.c. 2096 Fairways Ln Saint Paul MN 55113-3813 Ph: (651) 503-9852 |
NPI Number | 1144624636 |
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Provider Enumeration Date | 10/13/2014 |
Last Update Date | 10/13/2014 |
Medicare PECOS PAC ID | 4688896012 |
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Medicare Enrollment ID | O20141119000817 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144624636 | NPI | - | NPPES |
680003444 | Other | MN | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Martin J Schoen |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225259781 PECOS PAC ID: 2163529447 Enrollment ID: I20070522000056 |
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