Individual
AMANDA ZEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 SAINT GASPAR DR W, RENSSELAER, IN 47978-7361
(219) 866-8540
Mailing address
1389 SAINT GASPAR DR W, RENSSELAER, IN 47978-7361
(219) 866-8540
(219) 866-4668
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
17599521
IN
106S00000X
Behavior Technician
23-252096
IN
Other
Enumeration date
01/10/2023
Last updated
12/05/2025
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