Lisa Marie Fedora, M.A., L.P.
NPI 1023174638ActiveIndividual· Psychologist· Duluth, MN
Psychologist (M.A., L.P.) with Arrowhead Psychological Clinic, P.A., practicing in Duluth, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1023174638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., L.P. |
| Sole proprietor | No |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Mar 29, 2023 |
| Certified by provider | Mar 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP4660 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Arrowhead Psychological Clinic, P.A.Duluth, MN · 9 clinicians
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