Individual
AMANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1444 W 38TH ST, ERIE, PA 16508-2346
(814) 835-7043
Mailing address
1503 SUNRISE LAKES DR APT 12A, ERIE, PA 16509-7106
(417) 379-2466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TPS030454
PA
103TC0700X
Clinical Psychologist
2015037002
MO
Other
Enumeration date
10/16/2015
Last updated
04/09/2018
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