| Suzanne L. Krueger & Associates Pc | |
|
1500 Mcandrews Rd W Ste 223 Burnsville MN 55337-4445 | |
| (952) 854-7711 | |
| Not Available |
| Full Name | Suzanne L. Krueger & Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1500 Mcandrews Rd W Ste 223, Burnsville, Minnesota |
| Authorized Official Name and Position | Suzanne L Kish (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9528547771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne L. Krueger & Associates Pc 1500 Mcandrews Rd W Ste 223 Burnsville MN 55337-4445 Ph: (952) 854-7711 | Suzanne L. Krueger & Associates Pc 1500 Mcandrews Rd W Ste 223 Burnsville MN 55337-4445 Ph: (952) 854-7711 |
| NPI Number | 1467519686 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 9133186661 |
|---|---|
| Medicare Enrollment ID | O20041215000947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467519686 | NPI | - | NPPES |
| 670522700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP 3833 (Minnesota) | Primary |
| Provider Name | Suzanne L Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528040342 PECOS PAC ID: 8426015967 Enrollment ID: I20041215000987 |
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