Individual
AMANDA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1264
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33672
TX
Other
Enumeration date
04/12/2007
Last updated
12/18/2009
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