| Martin J. Schoen, Psy.d., L.l.c. | |
|
2096 Fairways Ln Saint Paul MN 55113-3813 | |
| (651) 503-9852 | |
| (651) 788-9554 |
| Full Name | Martin J. Schoen, Psy.d., L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2096 Fairways Ln, Saint Paul, Minnesota |
| Authorized Official Name and Position | Martin J. Schoen (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6515039852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin J. Schoen, Psy.d., L.l.c. Po Box 130891 Saint Paul MN 55113-0008 Ph: (651) 503-9852 | Martin J. Schoen, Psy.d., L.l.c. 2096 Fairways Ln Saint Paul MN 55113-3813 Ph: (651) 503-9852 |
| NPI Number | 1144624636 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Medicare PECOS PAC ID | 4688896012 |
|---|---|
| Medicare Enrollment ID | O20141119000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144624636 | NPI | - | NPPES |
| 680003444 | Other | MN | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Martin J Schoen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225259781 PECOS PAC ID: 2163529447 Enrollment ID: I20070522000056 |
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