Nippoldt-Baca, Lisa Joan

Nippoldt-Baca, Lisa Joan is an individual health care provider with primary practice located at 1937 Woodlane Drive Suite 101, Woodbury MN 55125. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Nippoldt-Baca, Lisa Joan can be contacted via phone (651) 764-8480.

Contact Information

Primary practice address
1937 Woodlane Drive Suite 101 Woodbury MN 55125
Phone: (651) 764-8480
Fax: (651) 471-9253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP5271 Minnesota
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP5271 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5271 Minnesota

Profile Details

NPI number 1720314909
LBN Legal business name Nippoldt-Baca, Lisa Joan
Credentials PSYD, LP, ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2009
Last updated Apr 25th, 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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