Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA R HARDESTY, PHD
ActiveLISA R HARDESTY, PHD is a Clinical Psychologist healthcare provider located in NORTH MANKATO, Minnesota. NPI 1154305126 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NORTH MANKATO, MN
Registration Details
- NPI Number
- 1154305126
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2005 (20.555067660163 yrs)
- Last Updated
- Sep 18, 2020
- Licenses
-
3904 (MN)LP3904 (MN)
Practice Information
- Address
-
1695 LOR RAY DRNORTH MANKATO, MN, 560032804Browse MN providers · Browse ZIP 56003
- Phone
- 5073878231
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.