IndividualActive
Amanda Donnelly, PHD
NPI 1760079396 · Clinical Psychologist · Blaine, MN
Provider details
- NPI number
- 1760079396
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- CC00630 (MN)
Mailing address
10611 Baltimore St Ne Unit 490412
Minneapolis, MN 55449-9930
Registry dates
- Enumerated
- 2020-12-29
- Last updated
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.