Individual
AMANDA LIENAU PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(614) 507-7572
Mailing address
1421 DAUTEL LN, SAINT LOUIS, MO 63146-5488
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
017993-1
NY
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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