Individual
DR. SARA ELVABOGESTAD SCHILPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12301 WHITEWATER DR, STE 101, MINNETONKA, MN 55343-9447
(952) 999-6097
(952) 426-0508
Mailing address
12301 WHITEWATER DR, STE 101, MINNETONKA, MN 55343-9447
(952) 999-6097
(952) 426-0508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
491
SD
103TC0700X
Clinical Psychologist
Primary
LP4754
MN
103TC2200X
Clinical Child & Adolescent Psychologist
491
SD
103TC2200X
Clinical Child & Adolescent Psychologist
LP4754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821106279
—
MN
05
—
2001653
—
SD
Enumeration date
08/27/2006
Last updated
12/23/2016
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