Individual
DR. MIRANDA DYRDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LMFT, LP
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414
(763) 233-7278
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(763) 233-7278
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
RPS2010006
CA
103TC0700X
Clinical Psychologist
GL0006
MN
103TC0700X
Clinical Psychologist
Primary
LP5423
MN
103TC0700X
Clinical Psychologist
PSY24149
CA
106H00000X
Marriage & Family Therapist
2599
MN
106H00000X
Marriage & Family Therapist
46860
CA
106H00000X
Marriage & Family Therapist
51386
CA
Other
Enumeration date
05/01/2007
Last updated
08/21/2018
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