Individual
DR. AMANDA SEIRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(207) 370-5145
Mailing address
PO BOX 225, TEWKSBURY, MA 01876-0225
(207) 370-5145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11576
MA
103TC0700X
Clinical Psychologist
PS1484
ME
Other
Enumeration date
10/05/2017
Last updated
09/27/2021
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