Lisa Louise Woodruff in White Bear Lake - Counseling

Lisa Louise Woodruff - NPI 1548342512

Lisa Louise Woodruff is a Counseling in White Bear Lake, Minnesota. Lisa Louise Woodruff practices all healthcare services and medical treatments related to Counseling. The NPI Number for Lisa Louise Woodruff is 1548342512. The last update date is 2007-07-08.

Lisa Louise Woodruff's current location address is 4505 White Bear Pkwy, White Bear Lake, Minnesota. You can contact this provider via phone number 6514268191 and fax number 6514266766. The mailing address for Lisa Louise Woodruff is 4505 White Bear Pkwy, White Bear Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Louise Woodruff
Address 4505 White Bear Pkwy, White Bear Lake, Minnesota
Phone Number 6514268191
Fax Number 6514266766
Sole Proprietor Y
Credentials LP,LICSW

NPI Number Detail

NPI Number 1548342512
Provider Enumeration Date 2006-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4505 White Bear Pkwy
City White Bear Lake
State Minnesota (MN)
Post Code 551103678
Phone Number 6514268191
Fax Number 6514266766

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No LP0870
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
62-06159 MN UBH

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FAQs about Lisa Louise Woodruff

What is the unique 10-digit identifier code assigned to Lisa Louise Woodruff by the Centers for Medicare & Medicaid Services?

The Lisa Louise Woodruff has been issued the NPI (National Provider Identifier) 1548342512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Lisa Louise Woodruff is physically located?

The Lisa Louise Woodruff is physically situated at the following address: 4505 White Bear Pkwy, White Bear Lake, MN, 551103678.

What is Lisa Louise Woodruff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lisa Louise Woodruff is Counseling, and the taxonomy code that categorizes this field of expertise is 103Tc1900X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548342512 to Lisa Louise Woodruff?

The Centers for Medicare & Medicaid Services originally issued the 1548342512 to Lisa Louise Woodruff on 2006-10-19.

As of what date were the details pertaining to Lisa Louise Woodruff last refreshed?

The information related to the Lisa Louise Woodruff, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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