Organization
NICOLE SCHUMANN PSYD, LP, LLC
Active
Organization
NICOLE SCHUMANN PSYD, LP, LLC
Active
Other names
Schumann Pediatric Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M SCHUMANN PSYD (OWNER)
(651) 343-0850
Entity
Organization
Contact information
Practice address
12400 PORTLAND AVE STE 120, BURNSVILLE, MN 55337-6817
(952) 236-6189
(952) 213-6116
Mailing address
12400 PORTLAND AVE STE 120, BURNSVILLE, MN 55337-6817
(952) 236-6189
(952) 213-6116
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861725905
TYPE 1 NPI
—
Enumeration date
01/23/2021
Last updated
01/23/2021
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