Susan E. Persons, MS, LP

NPI #1144399759 in Moose Lake, Minnesota

Provider Information

NPI Number: 1144399759
Entity Type: Individual
Name: Susan E. Persons, MS, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MS, LP
Enumeration Date: Nov 7, 2006
Last Updated: Jul 23, 2011

Practice Location

Address: 1000 LAKESHORE DR
City: Moose Lake
State: Minnesota
ZIP Code: 55767-9449
Phone: (218) 485-5419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X

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