Individual
ALYSSA N SUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1905 14 STREET WEST, WILLISTON, ND 58801
(701) 651-6437
(701) 516-8462
Mailing address
1905 14 STREET WEST, WILLISTON, ND 58801
(701) 651-6437
(701) 516-8462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
535
ND
103T00000X
Psychologist
Primary
535
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469015
—
ND
Enumeration date
08/12/2015
Last updated
09/02/2022
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