Individual
DR. AMANDA LOUISE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
27285 LAS RAMBLAS STE 140, MISSION VIEJO, CA 92691-8551
(949) 257-2251
Mailing address
29551 MONARCH DR, SAN JUAN CAPISTRANO, CA 92675-1423
(949) 362-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY20304
CA
103TC1900X
Counseling Psychologist
Primary
PSY20304
CA
Other
Enumeration date
07/11/2013
Last updated
01/18/2018
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