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
Fax: (651) 251-3155
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
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

Popular Providers