Healthcare Provider Details
I. General information
NPI: 1902725013
Provider Name (Legal Business Name): ALISON RILEY-SCHMIDA PSY.D., LP, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3795 PILOT KNOB RD
EAGAN MN
55122-1318
US
IV. Provider business mailing address
12095 QUAIL AVENUE LN N
STILLWATER MN
55082-5778
US
V. Phone/Fax
- Phone: 952-595-5652
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | LP7328 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: