Individual
DR. AMANDA EDWARDS STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, ATTN: CREDENTIALS, TACOMA, WA 98431-1100
(253) 968-3287
(253) 968-4192
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: CREDENTIALS, TACOMA, WA 98431-1100
(253) 968-1290
(253) 968-4192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY60141928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911636568
—
WA
Enumeration date
09/28/2010
Last updated
07/22/2019
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