Dr. Roy John Sutherland
Psychologist Counseling Psychologist
550 Osborne Rd Ne # Mr 52790
Fridley
, Minnesota 55432-2718
Dr. Roy John Sutherland
Psychologist Counseling Psychologist
550 Osborne Rd Ne # Mr 52790
Fridley
, Minnesota 55432-2718
(763) 236-4375
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About
Features
Specialties
- Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Roy John Sutherland
- 550 Osborne Rd Ne # Mr 52790
- Fridley, MN
- Zip : 55432-2718
- Phone : (763) 236-4375
Second Address
- Dr. Roy John Sutherland
- 550 Osborne Rd Ne # Mr 52790
- Fridley, MN
- Zip : 55432-2718
- Phone : (763) 236-4375
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | LP5295 | MN |
| Y | 103T00000X | Psychologist | LP5295 | MN |
| N | 103TC1900X | Counseling Psychologist | LP5295 | MN |
National Provider Identifier
| NPI | 1073820379 |
|---|---|
| Provider Name | Dr. Roy John Sutherland |
| First Address | Fridley, MN 55432-2718 |
| Second Address | Fridley, MN 55432-2718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2010 |
| Last Update Date | 12/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1073820379 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.