Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA JOAN NIPPOLDT-BACA, PSYD, LP, ABPP
ActiveDR. LISA JOAN NIPPOLDT-BACA, PSYD, LP, ABPP is a Clinical Neuropsychologist healthcare provider located in WOODBURY, Minnesota. NPI 1720314909 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · WOODBURY, MN
Registration Details
- NPI Number
- 1720314909
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2009 (16.775500213379 yrs)
- Last Updated
- Apr 25, 2024
- Licenses
-
LP5271 (MN)LP5271 (MN)LP5271 (MN)
Practice Information
- Address
-
1937 WOODLANE DRIVESUITE 101WOODBURY, MN, 55125Browse MN providers · Browse ZIP 55125
- Phone
- 6517648480
- Fax
- 6514719253
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
- Additional Specialty
- Psychologist
Other Clinical Neuropsychologist Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JOEL AUGUSTINE SCHIRVAR | PYSD LP | 1073593620 |
| DR. NANCY ANN BINFORD | PH.D | 1821236449 |
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.