Organization
LARRY M SCHANUS PA
Active
Organization
LARRY M SCHANUS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARVIN SCHANUS PSY. D. (PSYCHOLOGIST)
(612) 910-8391
Entity
Organization
Contact information
Practice address
21370 JOHN MILLESS DR, ROGERS, MN 55374-4621
(612) 910-8391
Mailing address
2841 ARDMORE AVE, MAPLE PLAIN, MN 55359-9342
(612) 910-8391
(763) 479-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP 4459
MN
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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