David Edward Schlack, LADC
Psychologist, Addiction (Substance Use Disorder) in Litchfield, MN. Individual provider (NPI-1).
NPI number1144495391
StatusActive
Last updated in NPPESApr 29, 2008
Details
- NPI
- 1144495391
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Edward Schlack
- Credential
- LADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2008
- Last updated
- Apr 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | 300543 | MN | Yes |
Other names
- David Edward Schlack (Other Name)
Practice location
1326 East Ripley StreetLitchfield, MN 55355
Phone 320-593-0440 · Fax 320-543-0442
Mailing address
1326 East Ripley StreetLitchfield, MN 55355
Phone 320-593-0440 · Fax 320-543-0442
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