Leadbetter, Lisa A

Leadbetter, Lisa A is an individual health care provider with primary practice located at 3333 University Ave Se , Minneapolis MN 55414-3325. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Leadbetter, Lisa A can be contacted via phone (612) 331-9413.

Contact Information

Primary practice address
3333 University Ave Se Minneapolis MN 55414-3325
Phone: (612) 331-9413
Fax: (612) 728-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP4480 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4480 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP4480 Minnesota

Profile Details

NPI number 1609081025
LBN Legal business name Leadbetter, Lisa A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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