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Individual

AMANDA HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
23461 S POINTE DR STE 100, LAGUNA HILLS, CA 92653-1523
(949) 264-2235
Mailing address
PO BOX 3283, DANA POINT, CA 92629-8283

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31192
CA

Other

Enumeration date
08/29/2019
Last updated
09/01/2021
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