Individual
DR. SUSAN KOTTSCHADE
Active
Individual
DR. SUSAN KOTTSCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3512
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032814
P1
MN
01
—
128655
UC
MN
01
—
255378
CP
MN
01
—
27164
HP
MN
01
—
334R0HI
BCBS
MN
01
—
61-52042
UBH
MN
Enumeration date
08/04/2006
Last updated
07/08/2007
Update your record
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