Pederson, Suzanne K

Pederson, Suzanne K is an individual health care provider with primary practice located at 3333 University Ave Se , Minneapolis MN 55414-3325. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pederson, Suzanne K can be contacted via phone (612) 331-9413.

Contact Information

Primary practice address
3333 University Ave Se Minneapolis MN 55414-3325
Phone: (612) 331-9413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1996 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP1996 Minnesota
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X LP1996 Minnesota

Profile Details

NPI number 1992869150
LBN Legal business name Pederson, Suzanne K
Credentials M.S., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - 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.

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