Keller Salvaggio, Lisa Joyce

Keller Salvaggio, Lisa Joyce is an individual health care provider with primary practice located at 120 Labree Ave S , Thief River Falls MN 56701-2819. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Keller Salvaggio, Lisa Joyce can be contacted via phone (218) 683-4349.

Contact Information

Primary practice address
120 Labree Ave S Thief River Falls MN 56701-2819
Phone: (218) 683-4349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP6349 Minnesota

Profile Details

NPI number 1346676897
LBN Legal business name Keller Salvaggio, Lisa Joyce
Credentials PSY.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Nov 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346676897 NPPES
Minnesota Other H400917182 ENROLLMENT PART B

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