Individual
DIANE SCHLAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSLP
Contact information
Practice address
29746 394TH PL, AITKIN, MN 56431-4446
(218) 927-3417
Mailing address
29746 394TH PL, AITKIN, MN 56431-4446
(218) 927-3417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01012789
PREFERRED ONE
MN
01
—
117273
UCARE
MN
01
—
1C149SC
BCBS
MN
01
—
62-05540
MEDICA
MN
Enumeration date
08/12/2006
Last updated
07/09/2007
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