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Organization

AMANDA LYNNE, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LYNNE QUINBY PHD, HSPP (OWNER, PSYCHOLOGIST)
(812) 606-2919
Entity
Organization

Contact information

Practice address
205 N COLLEGE AVE STE 314, BLOOMINGTON, IN 47404-3953
(812) 606-2919
(812) 901-6614
Mailing address
205 N COLLEGE AVE STE 314, BLOOMINGTON, IN 47404-3953
(812) 606-2919
(812) 901-6614

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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