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Contact Information

LISA S. SQUIRE, PHD, LP, PA
7800 METRO PKWY
SUITE 300
BLOOMINGTON, MN55425-1514
 Phone: 952-854-2440
 Fax: 952-854-2465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA S SQUIRE PHD LP PA · (Female)

NPI # 1841529930
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2009
Last updated 12/18/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # MNLP0204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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