Individual
AMANDA L MAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(260) 266-5400
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042046A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200802600
—
IN
Enumeration date
05/06/2006
Last updated
05/20/2025
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