Basic Information
| Provider Information | |||||||||
| NPI: | 1851902530 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STUDER | ||||||||
| FirstName: | SCHYLER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 4TH AVE W STE 300 | ||||||||
| Address2: | |||||||||
| City: | SHAKOPEE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553791220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524968565 | ||||||||
| FaxNumber: | 9524968355 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 4TH AVE W STE 300 | ||||||||
| Address2: | |||||||||
| City: | SHAKOPEE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553791220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524968565 | ||||||||
| FaxNumber: | 9524968355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2020 | ||||||||
| LastUpdateDate: | 08/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 2564 | MN | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.