Individual
AMANDA YUAN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
(410) 881-4639
Mailing address
1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
(410) 881-4639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0086917
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0086917
MD
Other
Enumeration date
02/03/2013
Last updated
08/13/2021
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