Lisa L Johnson Taylor, MA, LP

NPI #1508945452 in Burnsville, Minnesota

Provider Information

NPI Number: 1508945452
Entity Type: Individual
Name: Lisa L Johnson Taylor, MA, LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MA, LP
Enumeration Date: Nov 3, 2006
Last Updated: Jul 28, 2014

Practice Location

Address: 1751 SOUTHCROSS DR W
City: Burnsville
State: Minnesota
ZIP Code: 55306-7012
Phone: (952) 892-7690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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