Individual
AMANDA WHITTAKER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
4167 AVENIDA DE LA PLATA STE 106, OCEANSIDE, CA 92056-6028
(760) 520-6705
Mailing address
4167 AVENIDA DE LA PLATA STE 106, OCEANSIDE, CA 92056-6028
(760) 520-6705
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3959
CA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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