IndividualActive
Lisa Leadbetter, PH.D.
NPI 1609081025 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1609081025
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LP4480 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3333 University Ave Se
Minneapolis, MN 55414-3325
Phone: (612) 331-9413
Fax: (612) 728-5301
Approximate (ZIP-level) locationGet directions
Mailing address
4371 Yorktown Dr
Eagan, MN 55123-3030
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.