Organization
STONE ARCH PSYCHOLOGY AND HEALTH SERVICES
Active
Organization
STONE ARCH PSYCHOLOGY AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GUSTAFSON PSD. LP. (PSYCHOLOGIST)
(612) 886-2524
Entity
Organization
Contact information
Practice address
219 MAIN ST SE STE 400, MINNEAPOLIS, MN 55414
(612) 886-2524
(612) 886-2538
Mailing address
219 MAIN ST SE STE 400, MINNEAPOLIS, MN 55414-2151
(612) 886-2524
(612) 886-2538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3594
MN
103TA0700X
Adult Development & Aging Psychologist
LP3594
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP3594
MN
103TC0700X
Clinical Psychologist
Primary
LP3594
MN
103TC1900X
Counseling Psychologist
LP3594
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP3594
MN
103TS0200X
School Psychologist
LP3594
MN
Other
Enumeration date
12/30/2011
Last updated
06/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up