MISS SUSAN MARIE BACK MS LP
NPI 1609952027
Psychologist in Jackson, MN

Active since October 27, 2006
116 COUNTY ROAD 34 W, JACKSON, MN 56143(507) 847-5952(507) 847-5275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Susan Marie Back Ms Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SUSAN MARIE BACK MS LP (NPI 1609952027) is an individual psychologist in Jackson, Minnesota, licensed in Minnesota (LP1191) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1609952027
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMISS SUSAN MARIE BACKCredential: MS LP
Location Address116 COUNTY ROAD 34 WJackson, MN 56143
Mailing AddressPo Box 245, 116 County Road 34 WJackson, MN 56143 · (507) 847-5952 · Fax (507) 847-5275
Fax(507) 847-5275
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609952027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP1191
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.

116 COUNTY ROAD 34 W, Jackson, MN 56143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Back's NPI number?

The NPI number for Susan Back is 1609952027. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Susan Back located?

Susan Back practices at 116 County Road 34 W, Jackson, MN 56143. The listed phone number is (507) 847-5952.

What is Susan Back's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Susan Back was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.