Provider Demographics
NPI:1356229728
Name:KLOTZ, ANDREW (MA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KLOTZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13951 W PRESERVE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-7754
Mailing Address - Country:US
Mailing Address - Phone:612-520-1511
Mailing Address - Fax:
Practice Address - Street 1:13951 W PRESERVE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-7754
Practice Address - Country:US
Practice Address - Phone:612-520-1511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health