Provider Demographics
NPI:1396839684
Name:SCHLUTTER, LOIS COCHRANE (PHD LP)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:COCHRANE
Last Name:SCHLUTTER
Suffix:
Gender:F
Credentials:PHD LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 EXCELSIOR BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2734
Mailing Address - Country:US
Mailing Address - Phone:952-925-5344
Mailing Address - Fax:952-925-4649
Practice Address - Street 1:6200 EXCELSIOR BLVD
Practice Address - Street 2:STE 202
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2734
Practice Address - Country:US
Practice Address - Phone:952-925-5344
Practice Address - Fax:952-925-4649
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN100166OtherHEALTH PARTNERS
MN6180316OtherMEDICA
MN276K8SCOtherBCBS