Individual
TANIESH AMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
184612
AK
103TC0700X
Clinical Psychologist
Primary
184612
AK
103TC2200X
Clinical Child & Adolescent Psychologist
184612
AK
Other
Enumeration date
02/16/2022
Last updated
07/25/2025
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