LISA S. SQUIRE, PHD, LP, PA (NPI# 1841529930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841529930 |
| Entity Type | Organization |
| Organization Name | LISA S. SQUIRE, PHD, LP, PA |
| Practice Address |
7800 Metro Pkwy Suite 300 Bloomington MN 55425-1514 |
| Practice Telephone | 9528542440 |
| Practice Fax Number | 9528542465 |
| Mailing Telephone | 9528542440 |
| Mailing Fax Number | 9528542465 |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | DR. LISA SHARON SQUIRE (OWNER) |
| Authorized Official Telephone | 9528542440 |
| Authorized Official Credential | PHD PSYCHOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
MNLP0204 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7800 METRO PKWY SUITE 300 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872589 | Lisa Sharon Squire | Psychologist | 7800 Metro Pkwy, Ste 300, Bloomington, MN 55425-1509 | 2005-06-24 |
| 1730723669 | Melissa Hartnell | Psychologist | 7800 Metro Pkwy, Bloomington, MN 55425-1514 | 2019-11-04 |
| 1629503206 | River Source Transportation | Non-emergency Medical Transport (VAN) | 7800 Metro Pkwy, #300, Bloomington, MN 55425-1514 | 2017-04-20 |
| 1760921993 | Sunny Home Healthcare L.l.c | Home Health | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2017-02-21 |
| 1811368723 | Budding Lotus Transformations, LLC | Clinic/Center | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2015-10-19 |
| 1033344031 | Carolynne J Moffat | Marriage & Family Therapist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2009-05-19 |
| 1558527440 | Guardian Transportation Inc | Non-emergency Medical Transport (VAN) | 7800 Metro Pkwy, Suite 217, Bloomington, MN 55425-1514 | 2008-07-31 |
| 1144480294 | John Sexton Walters | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-06-12 |
| 1811172901 | Healthpoint Oriental Medicine, LLC | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-01-08 |
| 1326246968 | Roberta Rae Gunther | Speech-Language Pathologist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2007-07-05 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1477860609 | Hoffmann Burchett Psychological Services, LLC | Psychologist | 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 | 2010-09-09 |
| 1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
| 1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
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| City | BLOOMINGTON |
| Zip Code | 55425 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.