Individual
MS. AMANDA JO HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LP
Contact information
Practice address
7115 FORTHUN RD, SUITE 105, BAXTER, MN 56425-8597
(218) 454-0090
(218) 454-0091
Mailing address
7115 FORTHUN RD, SUITE 105, BAXTER, MN 56425-8597
(218) 454-0090
(218) 454-0091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3270
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104872423
MEDICA
MN
01
—
112404
UCARE
MN
01
—
375255000
MNHC
MN
01
—
61-58515
UBH
MN
01
—
924D4HI
BCBS
MN
01
—
99099-1027732
PREFERRED ONE
MN
01
—
HP33725
HEALTH PARTNERS
MN
Enumeration date
05/26/2006
Last updated
01/18/2011
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