Individual
AMANDA COURVOISIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12625 LA MIRADA BLVD., SUITE 202, LA MIRADA,, CA 90638-2211
(562) 903-4800
Mailing address
12625 LA MIRADA BLVD., SUITE 202, LA MIRADA,, CA 90638-2211
(562) 903-4800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY21207
PSYCHOLOGY LICENSE
CA
Enumeration date
02/28/2013
Last updated
02/28/2013
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