Individual
AMANDA DEVANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
520 CHADBOURNE RD, FAIRFIELD, CA 94534-9656
(707) 366-3674
Mailing address
520 CHADBOURNE RD, FAIRFIELD, CA 94534-9656
(707) 366-3674
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY33740
CA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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