Individual
MS. SUSAN S HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. , L.P.
Contact information
Practice address
1485 81ST AVE NE, SPRING LAKE PARK, MN 55432-2111
(763) 780-3036
(763) 780-0784
Mailing address
401 N 2ND ST, UNIT 302, MINNEAPOLIS, MN 55401-1577
(612) 922-0356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2670
MN
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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