Malouf, Susan Marie

Malouf, Susan Marie is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Family Life Mental Health Center, Coon Rapids MN 55433. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Malouf, Susan Marie can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Family Life Mental Health Center Coon Rapids MN 55433
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4772 Minnesota

Profile Details

NPI number 1346383114
LBN Legal business name Malouf, Susan Marie
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Dec 10th, 2008 - about 17 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 1346383114 NPPES
Minnesota Other 1050077 PREFERRED ONE
Minnesota MEDICAID 211697000 PREFERRED ONE
Minnesota Other HP77003 PREFERRED ONE
Minnesota Other 019N1MA PREFERRED ONE
Minnesota Other 109377 PREFERRED ONE

Popular Providers