Derheim, Suzanne E

Derheim, Suzanne E is an individual health care provider with primary practice located at 5500 94Th Ave N , Brooklyn Park MN 55443-1992. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Derheim, Suzanne E can be contacted via phone (763) 762-8835.

Contact Information

Primary practice address
5500 94Th Ave N Brooklyn Park MN 55443-1992
Phone: (763) 762-8835
Fax: (763) 315-6678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2849 Minnesota

Profile Details

NPI number 1548709140
LBN Legal business name Derheim, Suzanne E
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2017
Last updated Sep 19th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548709140 NPPES
Minnesota MEDICAID 355355800

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