IndividualActive
Amanda Young, PSY.D, LP
NPI 1063723716 · Psychologist · Fridley, MN
Provider details
- NPI number
- 1063723716
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D, LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP4634 (MN)
Practice location
480 Osborne Rd Ne Ste 260
Fridley, MN 55432-2866
Phone: (763) 236-3800
Fax: (763) 236-3821
Mailing address
2155 Ford Pkwy
Saint Paul, MN 55116-1862
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.