Torborg, Lisa J

Torborg, Lisa J is an individual health care provider with primary practice located at 110 2Nd St S Suite 301, Waite Park MN 56387-1314. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Torborg, Lisa J can be contacted via phone (320) 252-2976.

Contact Information

Primary practice address
110 2Nd St S Suite 301 Waite Park MN 56387-1314
Phone: (320) 252-2976
Fax: (320) 656-1570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP4710 Minnesota

Profile Details

NPI number 1669585253
LBN Legal business name Torborg, Lisa J
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 30th, 2015 - about 10 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 1669585253 NPPES
Minnesota MEDICAID 797206700

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