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Individual

DR. AMY ELIZABETH CANTAZARO

Active
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Individual

DR. AMY ELIZABETH CANTAZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LP

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
001186
IA
103T00000X
Psychologist
LP6272
MN
103TC0700X
Clinical Psychologist
Primary
LP6272
MN
103TC1900X
Counseling Psychologist
001186
IA
103TC2200X
Clinical Child & Adolescent Psychologist
001186
IA

Other

Enumeration date
04/21/2011
Last updated
08/13/2024
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