Davis, Susan Marie

Davis, Susan Marie is an individual health care provider with primary practice located at 5219 Wayzata Blvd Suite 240, St Louis Park MN 55416-1301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Susan Marie can be contacted via phone (952) 544-6806.

Contact Information

Primary practice address
5219 Wayzata Blvd Suite 240 St Louis Park MN 55416-1301
Phone: (952) 544-6806
Fax: (952) 545-0098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6512 Minnesota

Profile Details

NPI number 1598855371
LBN Legal business name Davis, Susan Marie
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598855371 NPPES
Minnesota Other HP40253 HEALTH PARTNERS
Minnesota Other 131558 HEALTH PARTNERS
Minnesota Other 62-78790 HEALTH PARTNERS
Minnesota Other 5G670DA HEALTH PARTNERS

Popular Providers