Preussler, Rebecca Suzanne

Preussler, Rebecca Suzanne is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Preussler, Rebecca Suzanne can be contacted via phone (701) 234-4141.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-4141
Fax: (701) 234-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 180004394 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 378 North Dakota

Profile Details

NPI number 1497776736
LBN Legal business name Preussler, Rebecca Suzanne
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 20th, 2014 - 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 1497776736 NPPES
North Dakota MEDICAID 13393
North Dakota MEDICAID 365471100

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