IndividualActive
Amanda Gordon, PH.D.
NPI 1831074186 · Clinical Child & Adolescent Psychologist · Bloomington, MN
Provider details
- NPI number
- 1831074186
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LP7283 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1801 American Blvd E Ste 1
Bloomington, MN 55425-1230
Phone: (612) 767-7222
Approximate (ZIP-level) locationGet directions
Mailing address
1801 American Blvd E
Bloomington, MN 55425-1232
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-11-08
- Certified
- 2025-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.