Provider Demographics
NPI:1285478149
Name:SCHMIDT, KARLIE PAIGE
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:PAIGE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17860 COBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-2140
Mailing Address - Country:US
Mailing Address - Phone:651-408-3621
Mailing Address - Fax:
Practice Address - Street 1:7801 E BUSH LAKE RD STE 220
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-3165
Practice Address - Country:US
Practice Address - Phone:612-688-5968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling