Susan De Vries, MA, LP
NPI #1427299023 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1427299023
- Entity Type
- Individual
- Name
- Susan De Vries, MA, LP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Family
- Credential
- MA, LP
- Enumeration Date
- Mar 12, 2009
- Last Updated
- Mar 12, 2009
Practice Location
- Address
- 570 ASBURY ST
- Address 2
- SUITE 310
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-1849
- Phone
- (651) 646-7010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Family — Family |
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