Individual
DR. LISA SHARON SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
7800 METRO PKWY, STE 300, BLOOMINGTON, MN 55425-1509
(952) 854-2440
(952) 854-2465
Mailing address
7800 METRO PKWY, STE 300, BLOOMINGTON, MN 55425-1509
(952) 854-2440
(952) 854-2465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MNLP0204
MN
Other
Enumeration date
06/24/2005
Last updated
12/01/2015
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