Miss. Susan Marie Back, MSLP
Miss. Susan Marie Back, MSLP is a Psychologist in Jackson, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
116 County Road 34 WJackson, MN 56143
Phone: (507) 847-5952
Fax: (507) 847-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence LP1191 (MN) |
|---|
Record details
| NPI number | 1609952027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSLP |
| Sole proprietor | No |
| NPI enumerated | October 27, 2006 |
| Last updated in NPPES | July 8, 2007 |