Individual
DR. AMANDA ROSE OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
WEST CAMPUS PUTNAM HALL, STONY BROOK, NY 11794-0001
(631) 632-8849
Mailing address
STONY BROOK UNIVERSITY - WEST CAMPUS PUTNAM HALL, STONY BROOK, NY 11794-3256
(631) 680-1954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
025776
NY
103TC0700X
Clinical Psychologist
Primary
025776
NY
Other
Enumeration date
12/07/2023
Last updated
01/18/2024
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