Individual
DR. LISA JOYCE KELLER SALVAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2819
(218) 683-4349
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6349
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H400917182
ENROLLMENT PART B
MN
Enumeration date
09/16/2013
Last updated
11/04/2024
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