Provider Demographics
NPI:1811103088
Name:SCHWARTZBERG, EDWARD TODD (PHD, MT-BC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:TODD
Last Name:SCHWARTZBERG
Suffix:
Gender:M
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2088 SANDHILL DR
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-5902
Mailing Address - Country:US
Mailing Address - Phone:763-234-1841
Mailing Address - Fax:
Practice Address - Street 1:100 FERGUSON HALL
Practice Address - Street 2:2106 4TH STREETH SOUTH
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-6016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist