Individual
DR. EVE MARIE FARIS SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
2004 RANDOLPH AVE, SAINT PAUL, MN 55105-1750
(651) 690-6805
Mailing address
2004 RANDOLPH AVE, SAINT PAUL, MN 55105-1750
(952) 200-6920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP6726
MN
103TC1900X
Counseling Psychologist
Primary
LP6726
MN
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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