Individual
DR. AMANDA PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1233 CALADIUM AVE, RICHARDSON, TX 75080-8427
(405) 586-4522
Mailing address
PO BOX 830369, RICHARDSON, TX 75083-0369
(405) 586-4522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
07/14/2020
Last updated
05/02/2024
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