Individual
PETER MCCORMICK SCHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6662
MN
103TC1900X
Counseling Psychologist
LP6662
MN
Other
Enumeration date
03/08/2021
Last updated
06/07/2021
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