Individual
DR. ANGELA ANN LUMBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD,LP
Contact information
Practice address
115 LITCHFIELD AVE SE, WILLMAR, MN 56201-3476
(203) 522-1411
Mailing address
PO BOX 396, FAIRFAX, MN 55332-0361
(320) 522-1411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4330
MN
103TC0700X
Clinical Psychologist
LP4330
MN
103TC1900X
Counseling Psychologist
LP4330
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP4330
MN
103TF0200X
Forensic Psychologist
LP4330
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP4330
MN
103TP2701X
Group Psychotherapy Psychologist
LP4330
MN
Other
Enumeration date
10/04/2006
Last updated
08/18/2023
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