Kleinschmidt, Teresa
Kleinschmidt, Teresa is an sole proprietor health care provider with primary practice located at 1665 Utica Ave S Ste 100 , St Louis Park MN 55416-3476. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kleinschmidt, Teresa can be contacted via phone (952) 541-2500.Contact Information
Primary practice address
1665 Utica Ave S Ste 100
St Louis Park MN 55416-3476
Phone: (952) 541-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1144 | Minnesota |
Profile Details
| NPI number | 1821074998 |
|---|---|
| LBN Legal business name | Kleinschmidt, Teresa |
| Credentials | M.S., L.M.F.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 30th, 2023 - about 2 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 | 1821074998 | NPPES |
| Minnesota | MEDICAID | 167719500 | |
| Minnesota | Other | 507T3KL | |
| Minnesota | Other | 508T2TE |
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