Lassegard, Maryanne Anne
Lassegard, Maryanne Anne is an sole proprietor health care provider with primary practice located at 521 Tanglewood Dr , Shoreview MN 55126-2016. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lassegard, Maryanne Anne can be contacted via phone (612) 306-4721.Contact Information
Primary practice address
521 Tanglewood Dr
Shoreview MN 55126-2016
Phone: (612) 306-4721
Fax: (763) 434-6570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | LP2187 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2187 | Minnesota |
Profile Details
| NPI number | 1982689592 |
|---|---|
| LBN Legal business name | Lassegard, Maryanne Anne |
| Credentials | PH.D LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Feb 10th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982689592 | NPPES |
| Minnesota | Other | 854806 | ARAZ |
| Minnesota | Other | 08S11LU | ARAZ |
| Minnesota | MEDICAID | 031016600 | ARAZ |
| Minnesota | Other | 57610 | ARAZ |
| Minnesota | Other | 6124240 | ARAZ |
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