Individual
DR. SUSAN KAY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17508 MINNETONKA BLVD, MINNETONKA, MN 55345-1007
(763) 234-4876
Mailing address
17508 MINNETONKA BLVD, MINNETONKA, MN 55345-1007
(763) 234-4876
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365489300
—
MN
Enumeration date
07/27/2006
Last updated
06/03/2025
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