| Lisa Froehling Psy.d. L.p., Llc | |
|
821 Raymond Ave Suite 140 Saint Paul MN 55114-1503 | |
| (651) 645-6776 | |
| (651) 645-1403 |
| Full Name | Lisa Froehling Psy.d. L.p., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 821 Raymond Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Lisa M Froehling (ORGANIZER OWNER) |
| Authorized Official Contact | 6516456776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Froehling Psy.d. L.p., Llc 821 Raymond Ave Suite 140 Saint Paul MN 55114-1503 Ph: (651) 645-6776 | Lisa Froehling Psy.d. L.p., Llc 821 Raymond Ave Suite 140 Saint Paul MN 55114-1503 Ph: (651) 645-6776 |
| NPI Number | 1457459273 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123028628 |
|---|---|
| Medicare Enrollment ID | O20070108000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457459273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4376 (Minnesota) | Primary |
| Provider Name | Lisa M Froehling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639198443 PECOS PAC ID: 6709882848 Enrollment ID: I20061012000052 |
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