Individual
VICKI L NAUSCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEQ LP
Contact information
Practice address
347 NORTH SMITH AVENUE, 401, ST PAUL, MN 55102
(651) 220-6750
(651) 220-6770
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP2712
MN
103TC0700X
Clinical Psychologist
Primary
LP2712
MN
Other
Enumeration date
09/01/2006
Last updated
09/11/2025
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