Persons, Susan E.

Persons, Susan E. is an individual health care provider with primary practice located at 1000 Lakeshore Dr , Moose Lake MN 55767-9449. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Persons, Susan E. can be contacted via phone (218) 485-5419.

Contact Information

Primary practice address
1000 Lakeshore Dr Moose Lake MN 55767-9449
Phone: (218) 485-5419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3599 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X LP3599 Minnesota

Profile Details

NPI number 1144399759
LBN Legal business name Persons, Susan E.
Credentials MS, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 23rd, 2011 - about 13 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 1144399759 NPPES
Minnesota MEDICAID 6280251000

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