Individual provider · Type 1 NPI
Susan Marie Back, MS LP
Psychologist · Jackson, MN
Practice location
116 County Road 34 W
Jackson, MN 56143
Fax (507) 847-5275
Mailing address
PO Box 245, 116 County Road 34 W
Jackson, MN 56143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP1191 (MN) |
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 adjustmen…
About NPI 1609952027
Susan Marie Back, MS LP's National Provider Identifier is 1609952027, issued on Oct 27, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jackson, MN. The record was last updated on Jul 8, 2007.