IndividualActive
Amanda Peterson, PHD LP
NPI 1508547977 · Clinical Psychologist · Rosemount, MN
Provider details
- NPI number
- 1508547977
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP7008 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15265 Carrousel Way
Rosemount, MN 55068-1760
Phone: (952) 443-4600
Approximate (ZIP-level) locationGet directions
Mailing address
15265 Carrousel Way
Rosemount, MN 55068-1760
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.