# DR. AMANDA MARIE RUNYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1558796862
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 2479 | KS | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 2493 | KS | — |
| 103TC0700X | Clinical Psychologist | 2479 | KS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2013
- **Last updated:** 06/11/2026