Individual
DR. AMANDA ADAMS-MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Mailing address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 441-4402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253701
—
OH
Enumeration date
05/11/2009
Last updated
05/18/2009
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