Kirsten Lysne is a Clinical in Mpls, Minnesota. Kirsten Lysne practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kirsten Lysne is 1043380074. The last update date is 2007-07-08.
Kirsten Lysne's current location address is 3001 Hennepin Ave So, Mpls, Minnesota. You can contact this provider via phone number 6128253440 and fax number 6128272477. The mailing address for Kirsten Lysne is 3001 Hennepin Ave So, Mpls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirsten Lysne |
|---|---|
| Address | 3001 Hennepin Ave So, Mpls, Minnesota |
| Phone Number | 6128253440 |
| Fax Number | 6128272477 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1043380074 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3001 Hennepin Ave So |
|---|---|
| City | Mpls |
| State | Minnesota (MN) |
| Post Code | 55408 |
| Phone Number | 6128253440 |
| Fax Number | 6128272477 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3655 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61-77329 | MN | UNITED BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the Kirsten Lysne's 1043380074?
The Kirsten Lysne's NPI (National Provider Identifier) Number is 1043380074. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kirsten Lysne's facilities are geographically located?
The facilities of Kirsten Lysne are physically situated at the following location: 3001 Hennepin Ave So, Mpls, MN, 55408.
What is Kirsten Lysne's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirsten Lysne is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043380074 to Kirsten Lysne?
The Kirsten Lysne received its 1043380074 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information regarding Kirsten Lysne most recently updated?
The details pertaining to the Kirsten Lysne, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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