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Contact Information

SUSAN K ELEESON INC
47143 299TH ST
BERESFORD, SD57004
 Phone: 605-351-5826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN K ELEESON INC · (Female)

NPI Number 1275903312
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2015
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • SD License # 399
  • SD Medicaid 1568417657
  • SD Other S107742 PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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