Individual
DR. KIRSTEN LYSNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3001 HENNEPIN AVE SOUTH, #B301, MPLS, MN 55408
(612) 825-3440
(612) 827-2477
Mailing address
3001 HENNEPIN AVE SO, #B301, MPLS, MN 55408
(612) 825-3440
(612) 827-2477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3655
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-77329
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
11/08/2006
Last updated
07/08/2007
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