Organization
MARTIN J. SCHOEN, PSY.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J. SCHOEN PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(651) 503-9852
Entity
Organization
Contact information
Practice address
2096 FAIRWAYS LN, SAINT PAUL, MN 55113-3813
(651) 503-9852
(651) 788-9554
Mailing address
PO BOX 130891, SAINT PAUL, MN 55113-0008
(651) 503-9852
(651) 788-9554
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680003444
MEDICARE PROVIDER NUMBER
MN
Enumeration date
10/13/2014
Last updated
10/13/2014
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