Individual
DR. AMANDA WENZEL KALSTABAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
(612) 365-8001
Mailing address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP6427
MN
103T00000X
Psychologist
Primary
LP6427
MN
Other
Enumeration date
12/23/2019
Last updated
08/14/2024
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