Mendoza, Lisa D

Mendoza, Lisa D is an individual health care provider with primary practice located at 3335 Buchanan St Ne , Minneapolis MN 55418-1449. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mendoza, Lisa D can be contacted via phone (651) 263-4149.

Contact Information

Primary practice address
3335 Buchanan St Ne Minneapolis MN 55418-1449
Phone: (651) 263-4149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619627551
LBN Legal business name Mendoza, Lisa D
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2022
Last updated Jul 11th, 2024 - about last year

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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