Individual provider · NPI-1

Dr. Amanda Carr, Psy.D.

Psychologist, Clinical · Saint Clair Shores, MI

NPI number1679764609
StatusActive
Last updated in NPPESJul 4, 2026

Details

NPI
1679764609
Entity type
Individual (NPI-1)
Name
Dr. Amanda Carr
Credential
Psy.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2007
Certification date
Jul 4, 2026
Last updated
Jul 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical6301018815MIYes
103TC0700X Psychologist, ClinicalPSY26305CA
103T00000X Psychologist6301018815MI

Practice location

24715 Little Mack Ave Ste 200
Saint Clair Shores, MI 48080-3207

Phone 586-777-9000

Mailing address

26140 Crocker Blvd Apt 136
Harrison Twp, MI 48045-2454

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