Individual
MS. SUSAN RUTH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
1707 MILLER TRUNK HWY, DULUTH, MN 55811-1880
(218) 729-6499
(218) 729-9238
Mailing address
1707 MILLER TRUNK HWY, DULUTH, MN 55811-1880
(218) 729-6499
(218) 729-9238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3509
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729724600
—
MN
01
—
NPP000
FDLHSD UPIN
MN
Enumeration date
01/17/2007
Last updated
07/12/2013
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