Individual
DR. AMANDA NICOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
Mailing address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8741
FL
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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