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

Dr. Maryanne Anne Lassegard, PHDLP

Individual provider Mental Health Counselor · NPI 1982689592

Dr. Maryanne Anne Lassegard, PHDLP is a Clinical Psychologist in Shoreview, Minnesota. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2005
Specialties on file
9

Practice location Address checks out

521 Tanglewood Dr
Shoreview, MN 55126-2016
Phone: (612) 306-4721
Fax: (763) 434-6570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP2187 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence LP2187 (MN)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence LP2187 (MN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence LP2187 (MN)
Counseling Psychologist Taxonomy 103TC1900X · Licence LP2187 (MN)
Family Psychologist Taxonomy 103TF0000X · Licence LP2187 (MN)
Health Service Psychologist Taxonomy 103TH0100X · Licence LP2187 (MN)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence LP2187 (MN)
Psychologist Taxonomy 103T00000X · Licence LP2187 (MN)

Record details

NPI number1982689592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLP
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESFebruary 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Shoreview