Gallucci, Susan Marie

Gallucci, Susan Marie is an sole proprietor health care provider with primary practice located at 5891 Cedar Lake Rd S # 103 , St Louis Park MN 55416-1460. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gallucci, Susan Marie can be contacted via phone (952) 463-0600.

Contact Information

Primary practice address
5891 Cedar Lake Rd S # 103 St Louis Park MN 55416-1460
Phone: (952) 463-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 312442 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1235337999
LBN Legal business name Gallucci, Susan Marie
Credentials L.I.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2007
Last updated May 8th, 2018 - about 7 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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