Individual
DR. LISA A LEADBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
(612) 728-5301
Mailing address
4371 YORKTOWN DR, EAGAN, MN 55123-3030
(651) 452-1028
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP4480
MN
103TC0700X
Clinical Psychologist
LP4480
MN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP4480
MN
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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