| Doctor Name: | DR. LISA EILEEN HERMAN |
| NPI Number: | 1104090646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 017260 |
| Business Practice Address: | 4300 Edgewood Dr Ne Saint Michael, MN - 553764588 |
| Business Phone Number: | 7637444000 |
| Business Fax Number: | |
| Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554071321 |
| Phone Number: | 6122621166 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 017260 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |