Provider Demographics
NPI:1508848110
Name:JAMES, SUZANNE DAY (PHD LP)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:DAY
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHD LP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 25TH AVE S
Mailing Address - Street 2:STE 109
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4841
Mailing Address - Country:US
Mailing Address - Phone:320-255-0343
Mailing Address - Fax:320-654-0318
Practice Address - Street 1:600 25TH AVE S
Practice Address - Street 2:STE 109
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4841
Practice Address - Country:US
Practice Address - Phone:320-255-0343
Practice Address - Fax:320-654-0318
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNLP0159103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47731JAOtherBCBS COMP CARE MCHA
053683OtherVALUE OPTIONS
187418OtherMAYO MCMJ
MN6119474OtherUBH MEDICA SELECT CARE