| Susan Mcpherson Phd Abpp Lp Llc | |
|
6550 York Ave S Ste 419 Edina MN 55435-2335 | |
| (952) 746-4014 | |
| (952) 746-4015 |
| Full Name | Susan Mcpherson Phd Abpp Lp Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6550 York Ave S Ste 419, Edina, Minnesota |
| Authorized Official Name and Position | Susan Mcpherson (OWNER) |
| Authorized Official Contact | 9527464015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Mcpherson Phd Abpp Lp Llc 4805 Drew Ave S Minneapolis MN 55410-1741 Ph: (612) 709-0589 | Susan Mcpherson Phd Abpp Lp Llc 6550 York Ave S Ste 419 Edina MN 55435-2335 Ph: (952) 746-4014 |
| NPI Number | 1861990012 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9931461647 |
|---|---|
| Medicare Enrollment ID | O20180316000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861990012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | LP4457 (Minnesota) | Primary |
| Provider Name | Susan E Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891794855 PECOS PAC ID: 7315851326 Enrollment ID: I20031114000136 |
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