Provider Demographics
NPI:1144543570
Name:CONNOR, EDI SWARTZ (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:EDI
Middle Name:SWARTZ
Last Name:CONNOR
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16816 BLENHEIM WAY
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2715
Mailing Address - Country:US
Mailing Address - Phone:952-484-8485
Mailing Address - Fax:
Practice Address - Street 1:16816 BLENHEIM WAY
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2715
Practice Address - Country:US
Practice Address - Phone:952-484-8485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1689106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist