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Individual

AMANDA M AMSDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
(502) 589-8758
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
271763
KY
103TC0700X
Clinical Psychologist
Primary
282837
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100780850
KY
Enumeration date
11/02/2021
Last updated
01/30/2023
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