Provider Demographics
NPI:1376641688
Name:RONALD L HOSCHOUER INC
Entity Type:Organization
Organization Name:RONALD L HOSCHOUER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:HOSCHOUER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:651-688-2335
Mailing Address - Street 1:1700 LIVINGSTON AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-5908
Mailing Address - Country:US
Mailing Address - Phone:651-688-2335
Mailing Address - Fax:651-688-2669
Practice Address - Street 1:1700 LIVINGSTON AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-5908
Practice Address - Country:US
Practice Address - Phone:651-688-2335
Practice Address - Fax:651-688-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0817103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN221608000Medicaid
MN116453OtherUCARE
MN45A28HOOtherBC BS GROUP ID
MN73729OtherHEALTH PARTNERS GROUP ID
6101304OtherMEDICA
680008961OtherRAILROAD MEDICARE
MN116453OtherUCARE