Individual
DR. LISA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416-1275
(952) 525-4500
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6534
MN
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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