Individual
DR. SUZANNE MARIE KEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., MSCP
Contact information
Practice address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
(605) 444-9701
Mailing address
5612 S CAIN AVE, SIOUX FALLS, SD 57106-2647
(712) 266-5504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
826
NE
103TC0700X
Clinical Psychologist
Primary
001195
IA
103TH0100X
Health Service Psychologist
000558
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000558
IOWA HEALTH SERVICE PROVIDER
IA
01
—
001195
BOARD OF PSYCHOLOGY LICENSE
IA
Enumeration date
10/08/2009
Last updated
02/04/2020
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