Individual
AMANDA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11614 MARAZION HILL CT, BAKERSFIELD, CA 93311-9497
(805) 366-9205
Mailing address
11614 MARAZION HILL CT, BAKERSFIELD, CA 93311-9497
(805) 366-9205
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
4294
CA
103TS0200X
School Psychologist
4294
CA
Other
Enumeration date
04/11/2024
Last updated
07/18/2025
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