Individual
NANCY K BOTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3108 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2619
(612) 590-7572
Mailing address
3927 THOMAS AVE S, MINNEAPOLIS, MN 55410-1235
(612) 207-0090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-1910
HI
103TC0700X
Clinical Psychologist
Primary
LP4674
MN
Other
Enumeration date
01/09/2007
Last updated
03/04/2025
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