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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

NPI Number 1841529930
LBN Legal business name LISA S. SQUIRE, PHD, LP, PA
Authorized official LISA SQUIRE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2009
Last updated 12/18/2009 - About 16 years ago
Identifiers
MN License # MNLP0204
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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