Individual
DR. AMANDA ELISE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2430 N FOREST RD STE 140, GETZVILLE, NY 14068-1557
(850) 264-2011
Mailing address
2430 N FOREST RD STE 140, GETZVILLE, NY 14068-1557
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
021948
NY
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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