Candell, Suzanne Beth

Candell, Suzanne Beth is an individual health care provider with primary practice located at 2550 University Ave W Suite 189S, Saint Paul MN 55114-1052. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Candell, Suzanne Beth can be contacted via phone (651) 332-7474.

Contact Information

Primary practice address
2550 University Ave W Suite 189S Saint Paul MN 55114-1052
Fax: (651) 332-7475
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X LP3830 Minnesota

Profile Details

NPI number 1407864515
LBN Legal business name Candell, Suzanne Beth
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407864515 NPPES
Minnesota Other 61-71476 MEDICA
Minnesota Other 981231016105 MEDICA
Minnesota Other 266P0CA MEDICA

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