Scholder, Lisa
Scholder, Lisa is an sole proprietor health care provider with primary practice located at 901 Twelve Oaks Center Dr Suite 926E, Wayzata MN 55391-4701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Scholder, Lisa can be contacted via phone (612) 300-2440.Contact Information
Primary practice address
901 Twelve Oaks Center Dr Suite 926E
Wayzata MN 55391-4701
Phone: (612) 300-2440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LP3972 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 3972 | Minnesota |
Profile Details
| NPI number | 1811069743 |
|---|---|
| LBN Legal business name | Scholder, Lisa |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811069743 | NPPES |
| Minnesota | Other | 61-39432 | MEDICA |
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