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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARYANNE A LASSEGARD · (Female)

NPI Number 1982689592
Status Active
Credentials PH.D LP
Entity Individual
Enumeration date 12/07/2005
Last updated 02/10/2017 - About 9 years ago
Sole proprietor 1 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(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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