Organization
AMANDA D DYER, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA D DYER PH.D. (OWNER)
(706) 548-8440
Entity
Organization
Contact information
Practice address
485 HUNTINGTON RD, SUITE 200, ATHENS, GA 30606-1861
(706) 546-8440
(706) 546-8456
Mailing address
485 HUNTINGTON RD, SUITE 200, ATHENS, GA 30606-1861
(706) 546-8440
(706) 546-8456
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
665405441A
—
GA
Enumeration date
04/08/2008
Last updated
06/20/2008
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