Chedda, Mary Lisa

Chedda, Mary Lisa is an sole proprietor health care provider with primary practice located at 1500 Mcandrews Rd W Ste 215 , Burnsville MN 55337-4445. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chedda, Mary Lisa can be contacted via phone (952) 222-3002.

Contact Information

Primary practice address
1500 Mcandrews Rd W Ste 215 Burnsville MN 55337-4445
Phone: (952) 222-3002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4291 Minnesota

Profile Details

NPI number 1861931966
LBN Legal business name Chedda, Mary Lisa
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2017
Last updated Jan 18th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861931966 NPPES
Minnesota MEDICAID 1033821632

Popular Providers