Individual provider · Type 1 NPI

Lisa Sharon Squire, PhD, L.P.

Clinical Psychologist · Bloomington, MN

NPI number 1609872589 Active

Practice location

7800 Metro Pkwy, Ste 300
Bloomington, MN 55425-1509

Fax (952) 854-2465

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XMNLP0204 (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 1609872589

Lisa Sharon Squire, PhD, L.P.'s National Provider Identifier is 1609872589, issued on Jun 24, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bloomington, MN. The record was last updated on Dec 1, 2015.