DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA MARIE JOHNSON PSYD, LMFT

MEDICARE: LISA MARIE JOHNSON PSYD, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1711MN
2103TF0000XFamily PsychologistLP5255MN

General Provider Information

NPI Number : 1730360207
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE JOHNSON PSYD, LMFT
Provider Business Mailing Address
First Line : 1600 UNIVERSITY AVE W STE 12
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3952
Country : US
Telephone Number : 651-379-5157
Fax Number :
Provider Business Practice Location Address
First Line : 1600 UNIVERSITY AVE W STE 12
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3952
Country : US
Telephone Number : 651-379-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 07/13/2022

Similar Medicare Providers

1063375905 — LEONA L VANN LICSW
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 651-379-5157
Practice Fax:
1629755681 — ANDREW MORGAN MA
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 651-379-5157
Practice Fax: 651-379-5159
1043745912 — JULIE HOYE
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 651-379-5157
Practice Fax:
1235752213 — CAITLIN SCHNEIDER
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 651-379-5157
Practice Fax:
1700491867 — CLAIRE DECELLES
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 651-379-5157
Practice Fax:
1316514961 — CINDY HER DNP, APRN, PMHNP-BC
Practice Location Address:
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952
Practice Phone: 612-961-5301
Practice Fax:

Directions to “ LISA MARIE JOHNSON PSYD, LMFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.