Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. JOEL AUGUSTINE SCHIRVAR PYSD LP
Clinical Neuropsychologist
Woodbury, Minnesota
Provider NPI: 1073593620
Provider Information:DR. JOEL AUGUSTINE SCHIRVAR PYSD LP
Gender: M
Not Sole Proprietor
Practice Location:
1811 WEIR DR SUITE 270 WOODBURY, MN 55125 US
Tel: 651-714-9646 Fax: 651-714-9647
Business Mailing Address:
1900 SILVER LAKE RD NW 110 NEW BRIGHTON, MN 55112 US
Tel: 651-628-9566 Fax: 651-628-0411
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WI | 2179-057 |
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN | LP3855 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 308222900 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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