Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5869
(248) 766-8499
Mailing address
7713 MINNETONKA BLVD, MINNEAPOLIS, MN 55426-3013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MN
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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