Roy John Sutherland, PHD, ABPP,LADC,MHA Valid NPI

Individual provider · Psychologist · New Brighton, MN

NPI

1073820379

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

LP5295 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-09-08

Last updated

2022-05-06