NPI: 1891884326 · ST PAUL, MN 55116 · Child & Adolescent Psychiatry Physician · NPI assigned 10/12/2006
| Authorized Official | PETERSON, SUZY (OWNER) |
| NPI Enumeration Date | 10/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 17 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 17 | 13 | $1K |