Organization
HIGHLAND PSYCHIATRIC SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY ELLEN PETERSON DO (OWNER)
(651) 698-4443
Entity
Organization
Contact information
Practice address
897 ST PAUL AVE, ST PAUL, MN 55116
(651) 698-4443
(651) 698-4817
Mailing address
897 ST PAUL AVE, ST PAUL, MN 55116
(651) 698-4443
(651) 698-4817
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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