Individual
AMANDA ROSE MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
806 E NORMAL AVE, FRESNO, CA 93704-6113
(559) 278-5126
Mailing address
806 E NORMAL AVE, FRESNO, CA 93704-6113
(559) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 20920
CA
Other
Enumeration date
05/14/2010
Last updated
02/26/2021
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