Individual provider · NPI-1

Amanda Anderson, Psy.D.

Psychologist, Clinical · Wilmington, DE

NPI number1902591985
StatusActive
Last updated in NPPESJun 28, 2024

Details

NPI
1902591985
Entity type
Individual (NPI-1)
Name
Amanda Anderson
Credential
Psy.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2023
Certification date
Jun 28, 2024
Last updated
Jun 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalB1-0011371DEYes
103TC0700X Psychologist, ClinicalPS019607PA

Practice location

3411 Silverside Rd
Weldin Bldg, Ste 100
Wilmington, DE 19810

Phone 484-734-0745

Mailing address

3411 Silverside Rd
Weldin Bldg, Ste 100
Wilmington, DE 19810

Phone 484-734-0745

Other practice locations

1930 S Broad St Unit 11
Philadelphia, PA 19145-2328

Phone 484-734-0745

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