Provider Demographics
NPI:1457459273
Name:LISA FROEHLING PSY.D. L.P., LLC
Entity Type:Organization
Organization Name:LISA FROEHLING PSY.D. L.P., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FROEHLING
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:651-645-6776
Mailing Address - Street 1:821 RAYMOND AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1503
Mailing Address - Country:US
Mailing Address - Phone:651-645-6776
Mailing Address - Fax:651-645-1403
Practice Address - Street 1:821 RAYMOND AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1503
Practice Address - Country:US
Practice Address - Phone:651-645-6776
Practice Address - Fax:651-645-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty