Individual
AMANDA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., M.S.ED.
Contact information
Practice address
24 WILLOW LN, LINDENHURST, NY 11757-5717
(631) 513-8452
Mailing address
24 WILLOW LN, LINDENHURST, NY 11757-5717
(631) 513-8452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020734
NY
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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