Individual provider · Type 1 NPI

Maryanne Anne Lassegard, PH.D LP

Clinical Psychologist · Shoreview, MN

NPI number 1982689592 Active

Practice location

521 Tanglewood Dr
Shoreview, MN 55126-2016

Call (612) 306-4721 Map

Fax (763) 434-6570

Mailing address

3340 Interlachen Dr NE
Ham Lake, MN 55304-4507

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	LP2187 (MN)
Adult Development & Aging Psychologist	103TA0700X	LP2187 (MN)
Cognitive & Behavioral Psychologist	103TB0200X	LP2187 (MN)
Clinical Psychologist Primary	103TC0700X	LP2187 (MN)
Counseling Psychologist	103TC1900X	LP2187 (MN)
Family Psychologist	103TF0000X	LP2187 (MN)
Health Service Psychologist	103TH0100X	LP2187 (MN)
Group Psychotherapy Psychologist	103TP2701X	LP2187 (MN)
Psychologist	103T00000X	LP2187 (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 1982689592

Maryanne Anne Lassegard, PH.D LP's National Provider Identifier is 1982689592, issued on Dec 7, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Shoreview, MN. The record was last updated on Feb 10, 2017.