What is Susan Clough's NPI number?

The NPI number assigned to this healthcare provider is 1871083931, enumerated as a individual on May 15, 2018.

Where is the provider located?

The provider is located at 11010 PRAIRIE LAKES DR STE 350 EDEN PRAIRIE, MN 55344 and the phone number is (952) 746-2522.

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

On this page

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

SUSAN CLOUGH MA (NPI 1871083931) is an individual mental health provider in Eden Prairie, Minnesota and active in the NPI registry since May 2018.

NPI1871083931

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSUSAN CLOUGHCredential: MA

Location Address11010 PRAIRIE LAKES DR STE 350Eden Prairie, MN 55344-3801

Mailing Address2947 Wyndam CtShakopee, MN 55379-5440 · (763) 807-3949

Sole ProprietorNo

Enumeration DateMay 15, 2018

✔ NPI 1871083931 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

11010 PRAIRIE LAKES DR STE 350, Eden Prairie, MN 55344

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)

11010 PRAIRIE LAKES DR STE 350, PRAIRIE LAKES CORPORATE CENTER II
EDEN PRAIRIE, MN 55344

Hennepin County (952) 746-2522

Nurse Practitioner (Psychiatric/Mental Health)