Kottschade, Susan
Kottschade, Susan is an individual health care provider with primary practice located at 375 Orleans St E , Stillwater MN 55082-5830. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kottschade, Susan can be contacted via phone (651) 430-2720.Contact Information
Primary practice address
375 Orleans St E
Stillwater MN 55082-5830
Phone: (651) 430-2720
Fax: (651) 251-3155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3512 | Minnesota |
Profile Details
| NPI number | 1881602613 |
|---|---|
| LBN Legal business name | Kottschade, Susan |
| Credentials | PSY.D., LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881602613 | NPPES |
| Minnesota | Other | 255378 | CP |
| Minnesota | Other | 27164 | CP |
| Minnesota | Other | 1032814 | CP |
| Minnesota | Other | 128655 | CP |
| Minnesota | Other | 61-52042 | CP |
| Minnesota | Other | 334R0HI | CP |
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