Stone Arch Psychology and Health Services

NPI #1124398607 in Minneapolis, Minnesota

Provider Information

NPI Number: 1124398607
Entity Type: Organization
Organization Name: Stone Arch Psychology and Health Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 30, 2011
Last Updated: Jun 11, 2018

Practice Location

Address: 219 MAIN ST SE STE 400
City: Minneapolis
State: Minnesota
ZIP Code: 55414
Phone: (612) 886-2524

Authorized Official

Name: MS. SUSAN GUSTAFSON, PSD. LP.
Title: PSYCHOLOGIST
Phone: (612) 886-2524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Adult Development & Aging — Adult Development & Aging	103TA0700X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - School — School	103TS0200X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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