Individual
MS. AMBER MAGGARD
Active
Individual
MS. AMBER MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
168145
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100407760
—
KY
Enumeration date
03/09/2010
Last updated
03/29/2018
Update your record
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