Provider Demographics
NPI:1033622550
Name:SCHMIEDLECHNER, DANIELA CHRISTINE (MT-BC)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:CHRISTINE
Last Name:SCHMIEDLECHNER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 4TH AVE N APT 19B
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1341
Mailing Address - Country:US
Mailing Address - Phone:607-379-4292
Mailing Address - Fax:
Practice Address - Street 1:2518 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5257
Practice Address - Country:US
Practice Address - Phone:607-379-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
13168225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist