Individual
DR. MIRANDA DYRDAHL
Active
Individual
DR. MIRANDA DYRDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LMFT, LP
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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