Individual
DR. AMANDA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
280 MADISON AVE, SUITE 1402, NEW YORK, NY 10016-0801
(203) 536-1770
Mailing address
205 MAIN ST, UNIT #52, NEW CANAAN, CT 06840-5634
(203) 536-1770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015248
NY
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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