Individual
DR. CATHLEEN M AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2102 E EVANS AVE, VALPARAISO, IN 46383-4096
(219) 462-4770
(219) 464-8156
Mailing address
2102 E EVANS AVE, VALPARAISO, IN 46383-4096
(219) 462-4770
(219) 464-8156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041768A
IN
103TH0100X
Health Service Psychologist
20041768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385770A
—
IN
Enumeration date
02/02/2006
Last updated
07/30/2008
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