Individual
SUSAN MARIE HOISINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025-2633
(651) 982-4792
(651) 982-6035
Mailing address
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025-2633
(651) 982-4792
(651) 982-6035
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LP0881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104974674
—
MN
Enumeration date
01/08/2007
Last updated
05/11/2026
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