Individual provider · Type 1 NPI
Lisa Wilke, PSYD
Psychologist · Champlin, MN
Practice location
11269 Jefferson Hwy N
Champlin, MN 55316-3123
Fax (763) 236-0790
Mailing address
PO Box 206
Minneapolis, MN 55480-0206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP6237 (MN) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1760927784
Lisa Wilke, PSYD's National Provider Identifier is 1760927784, issued on Dec 29, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Champlin, MN. The record was last updated on Apr 1, 2025.