Individual
AMANDA OERTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
161 PROSPEROUS PL, LEXINGTON, KY 40509-1898
(859) 368-0609
Mailing address
161 PROSPEROUS PL, LEXINGTON, KY 40509-1898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
173374
KY
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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