Organization Name: | NORTHERN INTEGRATED HEALTH, INC. |
NPI Number: | 1831413442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOIS COCHRANE SCHLUTTER (PSYCHOLOGIST) |
Mailing Address: | 6200 Excelsior Blvd Suite 202 St Louis Park |
State: | MN US |
Postal Code: | 554162730 |
Phone Number: | 9525489340 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2010 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 24280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |