Individual
AMANDA EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1420 FM 1960 BYPASS RD E STE 116, HUMBLE, TX 77338-3934
(713) 457-4372
(713) 457-0945
Mailing address
6315 GULFTON ST STE 100, HOUSTON, TX 77081-1107
(713) 457-4372
(713) 457-0945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1269
SC
103TC0700X
Clinical Psychologist
Primary
38459
TX
103TC1900X
Counseling Psychologist
NOO-353-270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413475101
—
TX
Enumeration date
08/05/2009
Last updated
10/01/2020
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