MS. SUSAN RUTH HALL (NPI# 1417009804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417009804 |
Entity Type | Individual |
Full Name | MS. SUSAN RUTH HALL |
Other Name | SUSAN RUTH SKURLA |
Credential | PSYCHOLOGIST |
Practice Address |
1707 Miller Trunk Hwy Duluth MN 55811-1880 |
Practice Telephone | 2187296499 |
Practice Fax Number | 2187299238 |
Mailing Telephone | 2187296499 |
Mailing Fax Number | 2187299238 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2013-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | LP3509 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | FDLHSD UPIN | NPP000 | 01 |
MN | 729724600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952650558 | Susan J. Hall | Psychologist | 89 Cortland Ave, Hicksville, NY 11801-4654 | 2012-08-29 |
1043521271 | Susan E Hall | Speech-Language Pathologist | 820 Elm Dr, St Maries, ID 83861-2119 | 2010-06-22 |
1184816860 | Susan Grace Hall | Counselor | 723 W Highway 71, Office-c, Smithville, TX 78957-5751 | 2007-08-15 |
1578649067 | Susan Hall | Family Medicine | 432a West J Street, Tehachapi, CA 93561 | 2006-10-27 |
1598871667 | Susan Paige Hall | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-08-22 |
1356969265 | Susan Mccall Hall | Nurse Practitioner | 2212 S 17th St, Wilmington, NC 28401-7515 | 2020-07-07 |
1689291718 | Susan Marie Hall | Counselor | 200 1st Ave W Ste 400, Seattle, WA 98119-4219 | 2020-07-06 |
1962970848 | Susan Teresa Hall | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2018-11-08 |
1578031019 | Susan Hall | Speech-Language Pathologist | 4405 Evans To Locks Rd Ste C, Evans, GA 30809-3737 | 2018-11-02 |
1366976219 | Susan Marie Hall | Registered Nurse | 101 Page St, New Bedford, MA 02740-3464 | 2017-04-18 |
Street Address |
1707 MILLER TRUNK HWY |
City | DULUTH |
State | MN |
Zip Code | 55811-1880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619412285 | Christine Elizabeth Kanani Bowerman | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2017-01-05 |
1619143187 | Calibrate, LLC | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2008-05-05 |
1295903482 | Heather Lynn Rose-carlson | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2008-02-11 |
1033242516 | Kristina L Scott | Counselor | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
Find all providers in zip 55811 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
1770143331 | James Vincent Shreffler | Psychologist | 324 W Superior St Ste 620, Duluth, MN 55802-1723 | 2019-06-17 |
1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
1437447992 | Michelle Simon | Psychologist | 1005 W Morgan St, Duluth, MN 55811-4424 | 2011-07-19 |
1215161823 | Jude Martin Henningsgaard | Psychologist | 405 E Superior St, Duluth, MN 55802-2240 | 2009-05-11 |
1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
1356486153 | Penelope Jean Gooch | Psychologist | 101 W 2nd Street, Suite 100 Northern Lights Counseling Center, Duluth, MN 55802 | 2007-02-20 |
1215070073 | Marcus Peter Desmonde | Psychologist | 716 Medical Arts Bldg, Duluth, MN 55802-1721 | 2007-02-14 |
1013054642 | Kelly Jean Ravenfeather | Psychologist | 230 E Superior St Ste 101, Duluth, MN 55802-2104 | 2007-01-31 |
1508922386 | Northwood Children's Services, Inc. | Psychologist | 1131 N 11th Ave E, Duluth, MN 55805-1517 | 2006-12-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.