Individual
MS. AMANDA BERNEDETTE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
7373 W 147TH ST, DAKOTA VALLEY PSYCHOLOGISTS STE 180, APPLE VALLEY, MN 55124
(952) 432-3220
(952) 891-4622
Mailing address
7373 W 147TH ST, DAKOTA VALLEY PSYCHOLOGISTS STE 180, APPLE VALLEY, MN 55124
(952) 432-3220
(952) 891-4622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4578
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2431289
AMERICAS PPO
—
01
—
435M1P0
BCBS
—
Enumeration date
02/14/2007
Last updated
07/08/2007
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