Individual
DR. AMY C. PATELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
(612) 444-9000
Mailing address
530 E 34TH ST, P.O. BOX 2526, JOPLIN, MO 64804-3924
(417) 347-7520
(417) 347-7519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2009026801
MO
103TC0700X
Clinical Psychologist
Primary
LP6507
MN
Other
Enumeration date
07/27/2009
Last updated
09/19/2023
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