Individual
DR. AMANDA MARIE RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-4188
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-4188
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2493
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
05/27/2016
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