Hardesty, Lisa R

Hardesty, Lisa R is an individual health care provider with primary practice located at 1695 Lor Ray Dr , North Mankato MN 56003-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardesty, Lisa R can be contacted via phone (507) 387-8231.

Contact Information

Primary practice address
1695 Lor Ray Dr North Mankato MN 56003-2804
Phone: (507) 387-8231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3904 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3904 Minnesota

Profile Details

NPI number 1154305126
LBN Legal business name Hardesty, Lisa R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 18th, 2020 - about 5 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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