| Nicole Schumann Psyd, Lp, Llc | |
|
12400 Portland Ave Ste 120 Burnsville MN 55337-6817 | |
| (952) 236-6189 | |
| (952) 213-6116 |
| Full Name | Nicole Schumann Psyd, Lp, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12400 Portland Ave Ste 120, Burnsville, Minnesota |
| Authorized Official Name and Position | Nicole M Schumann (OWNER) |
| Authorized Official Contact | 6513430850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Schumann Psyd, Lp, Llc 12400 Portland Ave Ste 120 Burnsville MN 55337-6817 Ph: (952) 236-6189 | Nicole Schumann Psyd, Lp, Llc 12400 Portland Ave Ste 120 Burnsville MN 55337-6817 Ph: (952) 236-6189 |
| NPI Number | 1811587850 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 01/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811587850 | NPI | - | NPPES |
| 1861725905 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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