Individual
DR. LISA SCHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
901 TWELVE OAKS CENTER DR, SUITE 926E, WAYZATA, MN 55391-4701
(612) 300-2440
Mailing address
901 TWELVE OAKS CENTER DR, SUITE 926E, WAYZATA, MN 55391-4701
(612) 300-2440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LP3972
MN
103TC0700X
Clinical Psychologist
Primary
LP 3972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-39432
MEDICA
MN
Enumeration date
11/15/2006
Last updated
10/14/2015
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