Individual
DR. AMANDA LAVENTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
461 1ST AVE, NEW YORK, NY 10016-9102
(718) 245-2727
Mailing address
462 1ST AVE, NEW YORK, NY 10016
(212) 562-5611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
021662
NY
Other
Enumeration date
09/25/2015
Last updated
07/29/2022
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