Doctor Name: | SUSAN WESTERLIND |
NPI Number: | 1396914602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D., LP |
License Number: | LP4889 |
Business Practice Address: | 110 2nd St. S. Ste 301 Waite Park, MN - 563871314 |
Business Phone Number: | 3202522976 |
Business Fax Number: | 3206561570 |
Mailing Address: | 110 2nd St. S., Ste 301 WAITE PARK |
State: | MN |
Postal Code: | 563871314 |
Phone Number: | 3202522976 |
Fax Number: | 3206561570 |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 10/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP4889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |