Organization
AMY WOLD MA, LP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY WOLD MA, LP, PA (OWNER, SELF)
(952) 758-2999
Entity
Organization
Contact information
Practice address
101 LEXINGTON AVE S, NEW PRAGUE, MN 56071-2423
(952) 758-2999
(952) 758-2999
Mailing address
101 LEXINGTON AVE S, NEW PRAGUE, MN 56071-2423
(952) 758-2999
(952) 758-2999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3821
MN
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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