Minnesota Early Autism Project | |
7236 Forestview Ln N Maple Grove MN 55369-5656 | |
(763) 493-7935 | |
(763) 493-7936 |
Full Name | Minnesota Early Autism Project |
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Speciality | Psychologist - Clinical |
Location | 7236 Forestview Ln N, Maple Grove, Minnesota |
Authorized Official Name and Position | Kim Lauree Schutt-chardon (DIRECTOR OF BILLING) |
Authorized Official Contact | 6082889040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Minnesota Early Autism Project 6402 Odana Rd Attn: Weap Madison WI 53719-1123 Ph: (608) 288-9040 | Minnesota Early Autism Project 7236 Forestview Ln N Maple Grove MN 55369-5656 Ph: (763) 493-7935 |
NPI Number | 1902093834 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 09/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902093834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (Minnesota) | Primary |
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