Organization
AMV PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA M VICTOR PH.D., LP (CLINICAL PSYCHOLOGIST)
(612) 636-7915
Entity
Organization
Contact information
Practice address
7200 FRANCE AVE S, SUITE #224, EDINA, MN 55435-4300
(612) 636-7915
(952) 831-0443
Mailing address
5916 COLFAX AVE S, MINNEAPOLIS, MN 55419-2104
(612) 636-7915
(952) 831-0443
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
4735
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4735
MN
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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