Individual
DR. AMY PANTER VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1604 CHRISTY HILL ROAD, OLYMPIC VALLEY, CA 96146
(530) 581-2539
Mailing address
PO BOX 242, TAHOE CITY, CA 96145-0242
(530) 581-2539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22041
CA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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