Lisa A Leadbetter in Eagan - Clinical Neuropsychologist

Lisa A Leadbetter - NPI 1609081025

Lisa A Leadbetter is a Clinical Neuropsychologist in Eagan, Minnesota. Lisa A Leadbetter practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lisa A Leadbetter is 1609081025. The last update date is 2007-07-08.

Lisa A Leadbetter's current location address is 4371 Yorktown Dr, Eagan, Minnesota. You can contact this provider via phone number 6514521028. The mailing address for Lisa A Leadbetter is 4371 Yorktown Dr, Eagan, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa A Leadbetter
Address 4371 Yorktown Dr, Eagan, Minnesota
Phone Number 6514521028
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1609081025
Provider Enumeration Date 2007-05-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4371 Yorktown Dr
City Eagan
State Minnesota (MN)
Post Code 551233030
Phone Number 6514521028
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No LP4480
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Lisa A Leadbetter

What is the Lisa A Leadbetter's unique identification number?

The Lisa A Leadbetter has been assigned the NPI (National Provider Identifier) Number 1609081025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Lisa A Leadbetter?

The Lisa A Leadbetter is situated at 4371 Yorktown Dr, in the city of Eagan, state of MN, with the zip code 551233030.

What is the area of specialization for Lisa A Leadbetter, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa A Leadbetter is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

On what date did the Lisa A Leadbetter receive the assignment of its 1609081025 from the Centers for Medicare & Medicaid Services?

The Lisa A Leadbetter was issued its 1609081025 by the Centers for Medicare & Medicaid Services on 2007-05-11.

As of what date was the information pertaining to Lisa A Leadbetter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa A Leadbetter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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