Organization
SUZANNE L. KRUEGER & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE L KISH PSYD, LP (LICENSED PSYCHOLOGIST)
(952) 854-7771
Entity
Organization
Contact information
Practice address
1500 MCANDREWS RD W STE 223, BURNSVILLE, MN 55337-4445
(952) 854-7711
Mailing address
1500 MCANDREWS RD W STE 223, BURNSVILLE, MN 55337-4445
(952) 854-7711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 3833
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670522700
—
MN
Enumeration date
01/03/2007
Last updated
06/14/2024
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