IndividualActive
Amy Wagener, PSY.D/LP
NPI 1497034763 · Clinical Psychologist · Burnsville, MN
Provider details
- NPI number
- 1497034763
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D/LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP4350 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1755 Southcross Dr W
Burnsville, MN 55306-7012
Phone: (952) 898-5020
Fax: (952) 898-5858
Approximate (ZIP-level) locationGet directions
Mailing address
1755 Southcross Dr W
Burnsville, MN 55306-7012
Registry dates
- Enumerated
- 2011-08-04
- Last updated
- 2011-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.