MEDICARE: KAYLA SCHULZ

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
1	106H00000X	Marriage & Family Therapist	3327	MN

General Provider Information

NPI Number	:	1265834931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA SCHULZ

Provider Business Mailing Address
First Line	:	7300 147TH ST W STE 204
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55124-7850
Country	:	US
Telephone Number	:	952-997-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 147TH ST W STE 204
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-7850
Country	:	US
Telephone Number	:	952-997-3020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	12/14/2021

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Directions to “ KAYLA SCHULZ ” Practice Location

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