Individual
DR. AMANDA LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068-1760
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP7008
MN
Other
Enumeration date
07/28/2023
Last updated
12/04/2023
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