Individual
AMANDA GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
525 PORTLAND AVE, MC 963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Mailing address
525 PORTLAND AVE, MC 963, MINNEAPOLIS, MN 55415-1533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5845
MN
Other
Enumeration date
03/15/2013
Last updated
12/01/2014
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