| Doctor Name: | LISA J TORBORG |
| NPI Number: | 1669585253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY. D. |
| License Number: | LP4710 |
| Business Practice Address: | 110 2nd St S Suite 301 Waite Park, MN - 563871314 |
| Business Phone Number: | 3202522976 |
| Business Fax Number: | 3206561570 |
| Mailing Address: | 1740 W Saint Germain St, Suite 200 SAINT CLOUD |
| State: | MN |
| Postal Code: | 563014059 |
| Phone Number: | 3202510223 |
| Fax Number: | 3202510172 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP4710 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |