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Individual

MS. SUZANNE K PEDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., L.P.

Contact information

Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
7501 5TH AVE S, RICHFIELD, MN 55423-4336
(612) 869-5602

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1996
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP1996
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP1996
MN

Other

Enumeration date
12/21/2006
Last updated
09/11/2025
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