IndividualActive
Amanda Porter, PSY.D
NPI 1447217138 · Psychologist · Northfield, MN
Provider details
- NPI number
- 1447217138
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- No
- License
- 2007030012 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1400 Jefferson Rd
Northfield, MN 55057-3081
Phone: (651) 241-0775
Fax: (651) 241-0772
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Jefferson Rd
Northfield, MN 55057-3081
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.