Individual
AMANDA IHLENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4708
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5773
MN
Other
Enumeration date
08/21/2014
Last updated
03/17/2018
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