National Provider Identifier Database

MARYANNE A LASSEGARD, PH.D LP – NPI #1982689592
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

MARYANNE A LASSEGARD, PH.D LP
521 TANGLEWOOD DR
SHOREVIEW, MN55126-2016
Phone: 612-306-4721
Fax: 763-434-6570
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Adult Development & Aging 103TA0700X
Cognitive & Behavioral 103TB0200X
Counseling 103TC1900X
Family 103TF0000X
Group Psychotherapy 103TP2701X
Health Service 103TH0100X
Mental Health 101YM0800X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for MARYANNE A LASSEGARD

NPI Number 1982689592
Credentials PH.D LP
Entity Individual
Enumeration date 12/07/2005
Last updated 02/10/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: LP2187
  • MN Medicaid: 031016600
  • FM Other: 08S11LU BCBS
  • FM Other: 6124240 MEDICA
  • MN Other: 854806 ARAZ
  • MN Other: 57610 CIGNA
Hospital affiliation n/a

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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