Provider Demographics
NPI:1467683755
Name:LOKENSGARD, AMY JOAN (PSYD, LP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JOAN
Last Name:LOKENSGARD
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 GRAND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2583
Mailing Address - Country:US
Mailing Address - Phone:651-734-5922
Mailing Address - Fax:855-574-5393
Practice Address - Street 1:333 GRAND AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2583
Practice Address - Country:US
Practice Address - Phone:651-734-5922
Practice Address - Fax:855-574-5393
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5083103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical