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Individual

DR. AMY ELIZABETH CANTAZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LP

Contact information

Practice address
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416-2629
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496

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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