Individual provider · Type 1 NPI

Lisa Marie Anderson, PhD

Clinical Psychologist · Maple Grove, MN

NPI number 1114504123 Active

Practice location

9600 Upland Ln N Ste 110
Maple Grove, MN 55369-4499

Call (952) 993-6200 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 5775 Wayzata Blvd Ste 255, St. Louis Park, MN 55416-1275 · (952) 525-4500

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP6534 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114504123

Lisa Marie Anderson, PhD's National Provider Identifier is 1114504123, issued on Mar 25, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 30, 2026.