Individual
DR. AMANDA MEDLEY RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
(504) 507-7004
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006236
VA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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