Individual
AMANDA LINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAS, NCSP
Contact information
Practice address
11348 CANOPY LOOP, FORT MYERS, FL 33913-9675
(631) 681-5388
Mailing address
11348 CANOPY LOOP, FORT MYERS, FL 33913-9675
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1460288
FL
103TS0200X
School Psychologist
2514460
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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