Lisa S. Squire, Phd, Lp, PA
NPI #1841529930 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1841529930
- Entity Type
- Organization
- Organization Name
- Lisa S. Squire, Phd, Lp, PA
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 18, 2009
- Last Updated
- Dec 18, 2009
Practice Location
- Address
- 7800 METRO PKWY
- Address 2
- SUITE 300
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1514
- Phone
- (952) 854-2440
Authorized Official
- Name
- DR. LISA SHARON SQUIRE, PHD PSYCHOLOGY
- Title
- OWNER
- Phone
- (952) 854-2440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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