IndividualActive
Amanda Kalstabakken, PHD
NPI 1649819665 · Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1649819665
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- LP6427 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
2512 S 7th St
Minneapolis, MN 55454-1404
Phone: (612) 365-6777
Fax: (612) 365-8001
Approximate (ZIP-level) locationGet directions
Mailing address
2512 S 7th St
Minneapolis, MN 55454-1404
Registry dates
- Enumerated
- 2019-12-23
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.