Individual
AMANDA MYERS CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2408 SCEPTER LN, HOOVER, AL 35226-2902
(205) 370-5156
Mailing address
2408 SCEPTER LN, HOOVER, AL 35226-2902
(205) 370-5156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1996
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261511
—
CA
Enumeration date
10/26/2012
Last updated
07/09/2021
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