Edelson, Dorothy Sue

Edelson, Dorothy Sue is an individual health care provider with primary practice located at 6120 Earle Brown Dr Ste. 520, Brooklyn Center MN 55430-2123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Edelson, Dorothy Sue can be contacted via phone (763) 531-0566.

Contact Information

Primary practice address
6120 Earle Brown Dr Ste. 520 Brooklyn Center MN 55430-2123
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP3108 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3108 Minnesota

Profile Details

NPI number 1356412498
LBN Legal business name Edelson, Dorothy Sue
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Nov 17th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356412498 NPPES
Minnesota MEDICAID 385823500
Minnesota Other 66B68ED
Minnesota Other 61-40441
Minnesota MEDICAID 97351777

Popular Providers