Individual
AMANDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
801 BRICKELL AVE STE 900, MIAMI, FL 33131-2979
(786) 361-8805
Mailing address
801 BRICKELL AVE STE 900, MIAMI, FL 33131-2979
(786) 361-8805
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11304
FL
Other
Enumeration date
11/09/2021
Last updated
01/11/2022
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