Lisa R Hardesty
Clinical Psychologist Cognitive & Behavioral Psychologist
1695 Lor Ray Dr
North Mankato
, Minnesota 56003-2804
Lisa R Hardesty
Clinical Psychologist Cognitive & Behavioral Psychologist
1695 Lor Ray Dr
North Mankato
, Minnesota 56003-2804
(507) 625-4031
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Lisa R Hardesty
- 1025 Marsh St
- Mankato, MN
- Zip : 56001-4752
- Phone : (507) 625-4031
Second Address
- Lisa R Hardesty
- 1695 Lor Ray Dr
- North Mankato, MN
- Zip : 56003-2804
- Phone : (507) 387-8231
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3904 | MN |
| Y | 103G00000X | Clinical Psychologist | LP3904 | MN |
| Y | 103TC0700X | Clinical Psychologist | LP3904 | MN |
National Provider Identifier
| NPI | 1154305126 |
|---|---|
| Provider Name | Lisa R Hardesty |
| First Address | Mankato, MN 56001-4752 |
| Second Address | North Mankato, MN 56003-2804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 18/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.