Susan Marie Hoisington
Addiction Psychologist (Substance Use Disorder)
2120 Park Ave
Minneapolis
, Minnesota 55404-3378
Susan Marie Hoisington
Addiction Psychologist (Substance Use Disorder)
2120 Park Ave
Minneapolis
, Minnesota 55404-3378
(651) 213-4411
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Susan Marie Hoisington
- 15245 Pleasant Valley Rd
- Center City, MN
- Zip : 55012-9640
- Fax : (651) 213-4411
- Phone : (651) 213-4197
Second Address
- Susan Marie Hoisington
- 2120 Park Ave
- Minneapolis, MN
- Zip : 55404-3378
- Fax : (612) 871-1375
- Phone : (612) 872-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LP0881 | MN |
National Provider Identifier
| NPI | 1104974674 |
|---|---|
| Provider Name | Susan Marie Hoisington |
| First Address | Center City, MN 55012-9640 |
| Second Address | Minneapolis, MN 55404-3378 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 07/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1104974674 | (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.