Individual provider · Type 1 NPI
Amanda Rose Donnelly, PhD
Clinical Psychologist · Blaine, MN
Practice location
11855 Ulysses St NE
Blaine, MN 55434-3947
Mailing address
10611 Baltimore St NE Unit 490412
Minneapolis, MN 55449-9930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | CC00630 (MN) |
| Clinical Psychologist Primary | 103TC0700X | LP6790 (MN) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1760079396
Amanda Rose Donnelly, PhD's National Provider Identifier is 1760079396, issued on Dec 29, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Blaine, MN. The record was last updated on Dec 27, 2022.