Individual
AMANDA HARVILLE MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
105 WALNUT CIRCLE, BRISTOL, TN 37620
(423) 367-0040
Mailing address
105 WALNUT CIR, BRISTOL, TN 37620-4833
(423) 367-0040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002790
VA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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