Susan Gustafson, LP
NPI #1073686655 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1073686655
- Entity Type
- Individual
- Name
- Susan Gustafson, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- LP
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Aug 4, 2017
Practice Location
- Address
- 219 SE MAIN ST STE 400
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55414-2151
- Phone
- (612) 886-2524
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