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).
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 |
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 |
Street Address |
1326 EAST RIPLEY STREET |
City | LITCHFIELD |
State | MN |
Zip Code | 55355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
1316419377 | Meeker-mcleod-sibley Community Health Services | Preventive Medicine | 114 North Holbombe Ave, Litchfield, MN 55355 | 2018-12-31 |
1275009086 | Joyce Lin Knieff | Acupuncturist | 703 N Holcombe Ave, Litchfield, MN 55355 | 2018-10-18 |
1154861839 | Cornerstone Care | Home Health | 23766 570th Ave, Litchfield, MN 55355 | 2017-03-01 |
1427420744 | Pathways Therapeutic Services, LLC | Social Worker | 621 Sibley Ave South, Litchfield, MN 55355 | 2015-10-26 |
1982002663 | Emily Brookshaw | Physical Therapist | 612 South Sibley Avenue, Litchfield, MN 55355 | 2014-12-12 |
1275882771 | Patricia Judith Finnegan-baker | Pharmacist | 59563 300th St, Litchfield, MN 55355 | 2012-08-30 |
1972832301 | Tracy Madsen | Registered Nurse | 114 N. Holcombe, Litchfield, MN 55355 | 2009-12-14 |
1033391099 | St. Cloud Hospital | Clinic/Center | 520 Hwy 12 East, Suite 6, Litchfield, MN 55355 | 2007-12-03 |
1124212873 | Jacy 2, LLC | Substance Abuse Rehabilitation Facility | 319 Csah #20, Litchfield, MN 55355 | 2007-09-05 |
Find all providers in zip 55355 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999546 | Serenity Behavioral Health & Wellness, LLC | Psychologist | 18318 Lansford Path, Lakeville, MN 55044-4955 | 2020-07-17 |
1285290072 | Summit Clinics Pllc | Psychologist | 2115 County Road D E Ste C, Maplewood, MN 55109-5353 | 2019-05-16 |
1013357797 | Kari Michelle-ferber Maynard | Psychologist | 520 2nd Ave Se, Pine City, MN 55063-1505 | 2013-06-26 |
1982917415 | Jeffrey Hill | Psychologist | 1056 Centerville Cir, Vadnais Heights, MN 55127-6360 | 2010-07-26 |
1053631622 | Heather J Johnson | Psychologist | 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977 | 2010-06-07 |
1104974674 | Susan Marie Hoisington | Psychologist | 2120 Park Ave, Minneapolis, MN 55404-3378 | 2007-01-08 |
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 |
1942221080 | Innovative Psychological Consultants, LLC | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-07-22 |
1609826767 | Karmella J Thompson | Psychologist | 11 2nd St Sw, Wadena, MN 56482-1482 | 2006-05-11 |
Find all providers with the same taxonomy |
City | LITCHFIELD |
Zip Code | 55355 |
Please comment or provide details below to improve the information on MR. DAVID EDWARD SCHLACK.
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.