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Contact Information

TAYLOR STOTZ, MA, LPCC, R-DMT
16180 HASTINGS AVE SE
PRIOR LAKE, MN55372-9227
 Phone: 952-443-4604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Dance Therapist

225600000X
Indicates primary specialty

NPI Profile & details for TAYLOR STOTZ · (Female)

NPI # 1033800065
Status Active
Credentials MA, LPCC, R-DMT
Entity Individual
Enumeration date 05/19/2023
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • License # R-DMT-2276
  • MN License # 4497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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