Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Gustafson, LP

Individual provider Clinical Psychologist · NPI 1073686655

Susan Gustafson, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2001, 25 years ago. Practices with Stone Arch Psychology and Health Services, a 7-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

219 SE Main St Ste 400
Minneapolis, MN 55414-2151
Phone: (612) 886-2524
Fax: (612) 886-2538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP3594 (MN)

Record details

NPI number1073686655
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 4, 2017
Mailing address219 Se Main St Ste 400, Minneapolis, MN 55414-2151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Stone Arch Psychology And Health Services — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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