1366527707 NPI number — MS. SUSAN LIENEMANN BUESING LMFT LD MEPD

Table of content: MS. SUSAN LIENEMANN BUESING LMFT LD MEPD (NPI 1366527707)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366527707 NPI number — MS. SUSAN LIENEMANN BUESING LMFT LD MEPD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUESING
Provider First Name:
SUSAN
Provider Middle Name:
LIENEMANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT LD MEPD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIENEMANN BUESING
Provider Other First Name:
SUSAN
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT LD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1366527707
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2445 DIANNA LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE CANADA
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55117-1632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-481-8859
Provider Business Mailing Address Fax Number:
651-481-8858

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
521 TANGLEWOOD DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHOREVIEW
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55126-2016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-334-5567
Provider Business Practice Location Address Fax Number:
651-481-8858
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  77 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 133N00000X , with the licence number: 1824 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com