Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amy Elizabeth Cantazaro, PHD, LP

Individual provider Psychologist · NPI 1407147713

Dr. Amy Elizabeth Cantazaro, PHD, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2010, 16 years ago. Works from 2 locations. Licensed in Iowa and Minnesota.

Years since qualifying
16
Licensed in
IA, MN
In the registry since
2011
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4027 County Road 25
Minneapolis, MN 55416-2629
Phone: (612) 925-6033
Fax: (612) 925-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Nicollet Ave, Minneapolis, MN 55403 — (612) 596-0900

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6272 (MN)
Psychologist Taxonomy 103T00000X · Licence 001186 (IA)
Psychologist Taxonomy 103T00000X · Licence LP6272 (MN)
Counseling Psychologist Taxonomy 103TC1900X · Licence 001186 (IA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 001186 (IA)

Record details

NPI number1407147713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESAugust 13, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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