Organization
SYNAPSE COLLABORATIVE LLC
Active
Other names
SYNAPSE COLLABORATIVE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LYN MCKINNEY PSYD, LCP (OWNER)
(618) 467-8805
Entity
Organization
Contact information
Practice address
1235 CEDAR CT, CARBONDALE, IL 62901-5335
(618) 467-8805
(618) 766-8073
Mailing address
1235 CEDAR CT, CARBONDALE, IL 62901-5335
(618) 467-8805
(618) 766-8073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/04/2025
Last updated
06/02/2025
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