Individual
MS. AMANDA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 LAKE FOREST DR, BELTON, TX 76513-9200
(254) 760-8004
Mailing address
183 LAKE FOREST DR, BELTON, TX 76513-9200
(254) 760-8004
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
34685
TX
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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