Individual
MARK SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8009 34TH AVE S, SUITE 1490, BLOOMINGTON, MN 55425-1794
(952) 854-5550
Mailing address
8009 34TH AVE SO, SUITE 1490, BLOOMINGTON,, MN 55425-1794
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0637
MN
106H00000X
Marriage & Family Therapist
Primary
191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217J1SC
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/20/2006
Last updated
09/11/2025
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