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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