Individual
DR. AMANDA JANE ROSENKOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22216 SE 272ND ST, MAPLE VALLEY, WA 98038-7420
(312) 203-5804
Mailing address
22216 SE 272ND ST, MAPLE VALLEY, WA 98038-7420
(312) 203-5804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006651
IL
Other
Enumeration date
12/08/2007
Last updated
02/20/2017
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