Lisa A Leadbetter in Eagan - Clinical Child & Adolescent
Lisa A Leadbetter - NPI 1609081025
Lisa A Leadbetter is a Clinical Child & Adolescent in Eagan, Minnesota. Lisa A Leadbetter practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP4480 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
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 Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
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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