Provider Demographics
NPI:1699836221
Name:SCHULDT, DAWN K (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:K
Last Name:SCHULDT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:K
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5219 WAYZATA BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1301
Mailing Address - Country:US
Mailing Address - Phone:952-544-6806
Mailing Address - Fax:952-545-0098
Practice Address - Street 1:5219 WAYZATA BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1301
Practice Address - Country:US
Practice Address - Phone:952-544-6806
Practice Address - Fax:952-545-0098
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1326106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP40482OtherHEALTH PARTNERS
MN113234OtherUCARE
MN993N3SCOtherBCBS