Individual
SUZANNE R JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
501 HIGHWAY 13 E, SUITE 108, BURNSVILLE, MN 55337-2884
(952) 564-3000
Mailing address
2429 E 117TH ST, BURNSVILLE, MN 55337-7212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4269
MN
Other
Enumeration date
04/25/2007
Last updated
05/16/2008
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