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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARYANNE ANNE LASSEGARD, PH.D LP

Active Sole Proprietor

Clinical Psychologist · SHOREVIEW, MN

Registration Details

NPI Number
1982689592
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2005 (20.415137653172 yrs)
Last Updated
Feb 10, 2017
Licenses
LP2187 (MN)
LP2187 (MN)
LP2187 (MN)
LP2187 (MN)
LP2187 (MN)
Sole Proprietor
Yes

Practice Information

Address
521 TANGLEWOOD DR
SHOREVIEW, MN, 551262016
Browse MN providers · Browse ZIP 55126
Phone
6123064721
Fax
7634346570
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Counseling Psychologist

Other Clinical Psychologist Providers in SHOREVIEW, MN

Name Credential NPI
ROGER CARTEN PH.D., L.P. 1558338681
DALE ELLEN GROSSMAN PH.D. 1578581849
DR. LAWRENCE WILLIAM FOLEY PSY.D 1558454793
DR. PENNY SUE GIESBRECHT PSY.D., L.P. 1396830758
SHERRY BERDE 1134288962
MS. NANCY GAIL LUDWIG MA, LP 1811059959
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.