Individual
AMANDA V WEATHERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 E EVERGREEN BLVD STE 210, VANCOUVER, WA 98660-3264
(626) 676-3927
(360) 844-6068
Mailing address
400 E EVERGREEN BLVD STE 210, VANCOUVER, WA 98660-3264
(360) 844-6068
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00003931
WA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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