Provider Demographics
NPI:1255161410
Name:TOMLINSON, SHAELEIGH CAROLINE
Entity type:Individual
Prefix:
First Name:SHAELEIGH
Middle Name:CAROLINE
Last Name:TOMLINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SHAELEIGH
Other - Middle Name:CAROLINE
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8980 ZACHARY LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-4018
Mailing Address - Country:US
Mailing Address - Phone:763-231-2000
Mailing Address - Fax:
Practice Address - Street 1:8980 ZACHARY LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4018
Practice Address - Country:US
Practice Address - Phone:763-231-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician