Individual
MS. BETH ANNE SUSAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC, NMT
Contact information
Practice address
136 CANABURY CT, SAINT PAUL, MN 55117-1503
(612) 251-8991
Mailing address
136 CANABURY CT, LITTLE CANADA, MN 55117-1503
(612) 251-8991
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A520004100
MN PROVIDER IDENTIFIER
MN
Enumeration date
04/06/2007
Last updated
03/04/2026
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