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Ms. Susan Marie Bourgerie, MA,LP
Psychologist in Minneapolis, Minnesota
NPI 1801953443

Susan Marie Bourgerie is a Psychologist based in Minneapolis, MN. Susan Marie Bourgerie practices in Minneapolis, MN and has the professional credentials of MA,LP. The NPI Number for Susan Marie Bourgerie is 1801953443 and holds a License No. LP 1735 (Minnesota).

The current practice location address for Susan Marie Bourgerie is 1409 Willow St, Minneapolis, MN and can be reached out via phone at 612-874-8608 and via fax at 612-874-8612.

Location: 1409 Willow St, Minneapolis, MN, 55403-2269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801953443
Provider Name
Susan Marie Bourgerie
Credential
MA,LP
Provider Entity Type
Individual
Gender
Female
Address
1409 Willow St, Minneapolis, MN, 55403-2269
Phone Number
612-874-8608
Fax Number
612-874-8612
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3K152BO 01 MN BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1409 Willow St
City
Minneapolis
State
Minnesota
Zip
55403-2269
Phone Number
612-874-8608
Fax Number
612-874-8612
person
Provider Business Mailing Address Details
Address
1409 Willow St
City
Minneapolis
State
Minnesota
Zip
55403-2269
Phone Number
612-874-8608
Fax Number
612-874-8612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP 1735 (Minnesota)
Definition
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.
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