DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUSAN MARIE HOISINGTON PSY.D.

MEDICARE: SUSAN MARIE HOISINGTON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) PsychologistLP0881MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104974674
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MARIE HOISINGTON PSY.D.
Provider Business Mailing Address
First Line : 15245 PLEASANT VALLEY RD
Second Line :
City : CENTER CITY
State : MN
Zip : 55012-9640
Country : US
Telephone Number : 651-213-4197
Fax Number : 651-213-4411
Provider Business Practice Location Address
First Line : 2120 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3378
Country : US
Telephone Number : 612-872-2000
Fax Number : 612-871-1375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 05/07/2018

Similar Medicare Providers

1760919419 — LILYANNA ANDERSON LICSW
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 651-774-0011
Practice Fax: 651-774-0606
1215998166 — DR. MARGUERITE VASSHTI BUTLER PH.D., L.P.
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 651-774-0011
Practice Fax: 651-774-0606
1619095700 — PEOPLE INCORPORATED
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 612-287-2050
Practice Fax: 612-871-1379
1063703221 — CONSTANCE SALLY SMITH LADC, LPCC
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 651-774-0011
Practice Fax: 651-774-0606
1275890980 — ANNMARIE KAY FLOREST LICSW
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 612-872-2000
Practice Fax: 612-871-1375
1285997528 — MR. GEBREMARIAM ALEM GEBREMICAEL
Practice Location Address:
2120 PARK AVE
MINNEAPOLIS, MN
55404-3378
Practice Phone: 612-872-2000
Practice Fax: 612-871-1375

Directions to “ SUSAN MARIE HOISINGTON PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.