Provider Demographics
NPI:1558430827
Name:QUIE, PAUL (PAUL QUIE, MA, LMFT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:QUIE
Suffix:
Gender:M
Credentials:PAUL QUIE, MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 OAK ST W
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-5623
Mailing Address - Country:US
Mailing Address - Phone:651-643-0729
Mailing Address - Fax:
Practice Address - Street 1:514 OAK ST W
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-5623
Practice Address - Country:US
Practice Address - Phone:651-643-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN112141OtherUCARE
MN000R3QUOtherBCBS
MNHP29781OtherHEALTH PARTNERS
MN000R3QUOtherBCBS