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Contact Information

AMY E CANTAZARO, PH.D., LP
4027 COUNTY ROAD 25
MINNEAPOLIS, MN55416-2629
 Phone: 612-925-6033
 Fax: 612-925-8496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AMY E CANTAZARO · (Female)

NPI Number 1407147713
Status Active
Credentials PH.D., LP
Entity Individual
Enumeration date 04/21/2011
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # 001186
  • MN License # LP6272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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