Organization
SUZANNE SWANSON INC.
Active
Organization
SUZANNE SWANSON INC.
Active
Other names
Mothers Matter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M SWANSON PH.D. (LICENSED PSYCHOLOGIST)
(651) 221-9709
Entity
Organization
Contact information
Practice address
1108 GRAND AVE, #2, SAINT PAUL, MN 55105-2618
(651) 221-9709
Mailing address
1108 GRAND AVE, #2, SAINT PAUL, MN 55105-2618
(651) 221-9709
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4533470
—
MN
01
—
83A00SW
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
12/14/2006
Last updated
08/22/2020
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