Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Eileen Lovelace, PSYD

Individual provider Clinical Psychologist · NPI 1104090646

Dr. Lisa Eileen Lovelace, PSYD is a Clinical Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota, New York and Wisconsin.

Licensed in
MN, NY, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3539 Douglas Dr N
Minneapolis, MN 55422-2415
Phone: (612) 642-1355
Fax: (612) 756-7059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5379 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3561-57 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 017260 (NY)

Record details

NPI number1104090646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 16, 2008
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

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