MR. DAVID EDWARD SCHLACK


Address: 1326 East Ripley Street, Litchfield, MN 55355
Phone: 3205930440

MR. DAVID EDWARD SCHLACK (NPI# 1144495391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144495391
Entity Type Individual
Full Name MR. DAVID EDWARD SCHLACK
Other Name DAVID EDWARD SCHLACK
Credential LADC
Practice Address 1326 East Ripley Street
Litchfield
MN 55355
Practice Telephone 3205930440
Practice Fax Number 3205430442
Mailing Telephone 3205930440
Mailing Fax Number 3205430442
Enumeration Date 2008-04-29
Last Update Date 2008-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
300543 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1326 EAST RIPLEY STREET
City LITCHFIELD
State MN
Zip Code 55355

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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1902902638 Sharon Stein Mcnamara Ed D Psychology Inc Psychologist 4700 Lexington Ave N Ste B1a, Shoreview, MN 55126-5867 2006-09-16
1235240284 Ann Virginia Hobbick Psychologist 7590 Lyric Lane Ne, Unity Hosptial, Fridley, MN 55432 2006-08-31
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Competitor

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City LITCHFIELD
Zip Code 55355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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