Individual
DR. AMANDA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3255 CAHUENGA BLVD W, SUITE 208, LOS ANGELES, CA 90068-1375
(310) 926-1929
Mailing address
12745 MOORPARK ST, #406, STUDIO CITY, CA 91604-1379
(310) 926-1929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
01/25/2011
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