| Minnesota Early Autism Project | |
|
7236 Forestview Ln N Maple Grove MN 55369-5656 | |
| (763) 493-7935 | |
| (763) 493-7936 |
| Full Name | Minnesota Early Autism Project |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7236 Forestview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Kim Lauree Schutt-chardon (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6082889040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Early Autism Project 6402 Odana Rd Attn: Weap Madison WI 53719-1123 Ph: (608) 288-9040 | Minnesota Early Autism Project 7236 Forestview Ln N Maple Grove MN 55369-5656 Ph: (763) 493-7935 |
| NPI Number | 1902093834 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902093834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Minnesota) | Primary |
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