Individual
AMANDA FEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
1109 W CEDAR ST, BERESFORD, SD 57004-1524
(605) 763-5096
(605) 763-2206
Mailing address
1109 W CEDAR ST, BERESFORD, SD 57004-1524
(605) 763-5096
(605) 763-2206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
78440-0
SD
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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