Individual
AMANDA MCCLURE HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 JEFFERSON PKWY BLDG A, NEWNAN, GA 30263-5813
(470) 869-0628
Mailing address
502 JOHNSTON AVE, PALMETTO, GA 30268-1027
(615) 604-0336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004073
GA
Other
Enumeration date
01/18/2017
Last updated
02/04/2020
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