Powers Olson, Susan Kay

Powers Olson, Susan Kay is an sole proprietor health care provider with primary practice located at 17508 Minnetonka Blvd , Minnetonka MN 55345-1007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Powers Olson, Susan Kay can be contacted via phone (763) 234-4876.

Contact Information

Primary practice address
17508 Minnetonka Blvd Minnetonka MN 55345-1007
Phone: (763) 234-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4504 Minnesota

Profile Details

NPI number 1053325175
LBN Legal business name Powers Olson, Susan Kay
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 21st, 2015 - about 10 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 1053325175 NPPES
Minnesota MEDICAID 365489300

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