Most Relevant Information
Provider Data
| NPI Number: | 1003401308 |
| Provider Name: | PETER MCCORMICK SCHAUB PSYD, LP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | LP6662 |
Most Important Dates
| Enumeration Date: | 03/08/2021 |
| Last Updated: | 06/07/2021 |
Provider Practice Location
3800 PARK NICOLLET BLVD
ST LOUIS PARK
MN
554162527
Practice Location Phone/Fax
| Phone: | 9529933123 |
| Fax: |
Provider Mailing Location
8170 33RD AVE S # MS 21110Q
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |