Organization
CABOT PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA M. M. MULFINGER PHD, LP (CLINICAL PSYCHOLOGIST)
(612) 532-2890
Entity
Organization
Contact information
Practice address
7400 METRO BLVD, SUITE 216, EDINA, MN 55439-2316
(952) 831-2000
(952) 835-6134
Mailing address
7400 METRO BLVD, SUITE 216, EDINA, MN 55439-2316
(952) 831-2000
(952) 835-6134
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003054545
NPI, TYPE 1
MN
Enumeration date
08/26/2010
Last updated
03/26/2014
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