Individual
SCOTT MITCHEL KAMILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1409 WILLOW ST, SUITE 300, MINNEAPOLIS, MN 55403-2269
(612) 870-1242
(612) 870-8077
Mailing address
8085 WAYZATA BLVD STE 216, GOLDEN VALLEY, MN 55426-1459
(612) 296-7942
(763) 231-1704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2868
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749250200
—
MN
Enumeration date
05/04/2006
Last updated
10/31/2017
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