Pacyga, Susan Rae

Pacyga, Susan Rae is an individual health care provider with primary practice located at 17305 Cedar Ave South Suite 230, Lakeville MN 55044. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pacyga, Susan Rae can be contacted via phone (952) 435-4144.

Contact Information

Primary practice address
17305 Cedar Ave South Suite 230 Lakeville MN 55044
Phone: (952) 435-4144
Fax: (952) 435-4149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06673 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6837-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0648 Minnesota

Profile Details

NPI number 1831261742
LBN Legal business name Pacyga, Susan Rae
Credentials LICSW LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831261742 NPPES
Minnesota Other 552GPA BCBS

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