Individual
LISA SIMONE FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,LP
Contact information
Practice address
701 PARK AVE SOUTH, HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT, MINNEAPOLIS, MN 55415
(612) 873-3044
(612) 630-8242
Mailing address
701 PARK AVE, HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT, MINNEAPOLIS, MN 55415-1623
(612) 873-3044
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
04/28/2011
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