Individual
AMANDA QUINBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N COLLEGE AVE STE 512, BLOOMINGTON, IN 47404-3952
(812) 606-2919
Mailing address
205 N COLLEGE AVE STE 512, BLOOMINGTON, IN 47404-3952
(812) 606-2919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042834A
IN
Other
Enumeration date
07/08/2013
Last updated
10/17/2015
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