Individual
CAROL J SCHWARZKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
217 S 7TH ST STE 215, BRAINERD, MN 56401-3695
(218) 828-4602
Mailing address
217 S 7TH ST STE 215, BRAINERD, MN 56401-3695
(218) 828-4602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1810474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160526
UCARE
MN
01
—
1N063SC
BCBS
MN
01
—
6167697
MEDICA
MN
01
—
P00218188
RAILROAD MEDICARE
MN
Enumeration date
07/17/2006
Last updated
07/09/2007
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