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NPI Code Detail

MEDICARE: COLLEEN SCHWARTZ

MEDICARE: COLLEEN SCHWARTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124658026
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN SCHWARTZ
Provider Business Mailing Address
First Line : 3501 ALDRICH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3501 ALDRICH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4149
Country : US
Telephone Number : 608-410-0504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2020
Last Update Date : 01/30/2024

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