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Individual

DR. AMANDA FRANCES MOATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4201 SPRING VALLEY RD, STE 1100, DALLAS, TX 75244-3631
(972) 404-8325
(972) 404-8326
Mailing address
4201 SPRING VALLEY RD, STE 1100, DALLAS, TX 75244-3631
(972) 404-8325
(972) 404-8326

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35197
TX
103T00000X
Psychologist
Primary
35197
TX

Other

Enumeration date
01/17/2012
Last updated
09/23/2014
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