IndividualActive
Amanda Dougherty
NPI 1033958848 · Adolescent and Children Mental Health Clinic/Center · Bloomington, MN
Provider details
- NPI number
- 1033958848
- Entity type
- Individual
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
9358 Ensign Ave S
Bloomington, MN 55438-1472
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.