Individual
BROCKMAN SCHUMACHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
1516 W LAKE ST STE 350C, MINNEAPOLIS, MN 55408-2554
(612) 232-0567
(612) 584-3915
Mailing address
240 PARK AVE UNIT 600, MINNEAPOLIS, MN 55415-2254
(612) 232-0567
(612) 584-3915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
718549900
MN HEALTH CARE PROGRAMS
MN
Enumeration date
11/27/2006
Last updated
06/11/2025
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