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NPI Code Detail

MEDICARE: KATHRYN MCGRAW-SCHUCHMAN M.A., L.P.

MEDICARE: KATHRYN MCGRAW-SCHUCHMAN M.A., L.P.
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
1103TC1900XCounseling Psychologist
2103TC2200XClinical Child & Adolescent Psychologist
3103TF0000XFamily Psychologist
4103TH0004XHealth Psychologist
5103TC0700XClinical PsychologistLP3341MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LP3341OTHERMNSTATE LICENSE

General Provider Information

NPI Number : 1457472540
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MCGRAW-SCHUCHMAN M.A., L.P.
Provider Business Mailing Address
First Line : 1900 SILVER LAKE RD NW
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-1786
Country : US
Telephone Number : 651-628-9566
Fax Number : 651-628-0411
Provider Business Practice Location Address
First Line : 13603 80TH CIR N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-8961
Country : US
Telephone Number : 763-274-3120
Fax Number : 763-274-3121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/27/2018

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