Anderson, Lisa Marie

Anderson, Lisa Marie is an individual health care provider with primary practice located at 5775 Wayzata Blvd Ste 255 , St Louis Park MN 55416-1275. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Lisa Marie can be contacted via phone (952) 525-4500.

Contact Information

Primary practice address
5775 Wayzata Blvd Ste 255 St Louis Park MN 55416-1275
Phone: (952) 525-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6534 Minnesota

Profile Details

NPI number 1114504123
LBN Legal business name Anderson, Lisa Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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