Wilke, Lisa

Wilke, Lisa is an individual health care provider with primary practice located at 11855 Ulysses St Ne Ste 40 , Blaine MN 55434-3947. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wilke, Lisa can be contacted via phone (763) 691-9032.

Contact Information

Primary practice address
11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947
Phone: (763) 691-9032
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1760927784
LBN Legal business name Wilke, Lisa
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2016
Last updated Jan 5th, 2018 - about 8 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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