Individual
AMANDA BLAIR CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
99 BEAUVOIR AVE, EATING DISORDERS PROGRAM, MACII-SUITE 200, SUMMIT, NJ 07901-3533
(908) 598-6620
(908) 522-5779
Mailing address
99 BEAUVOIR AVE, EATING DISORDERS PROGRAM, MACII-SUITE 200, SUMMIT, NJ 07901-3533
(908) 598-6620
(908) 522-5779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00503800
NJ
Other
Enumeration date
02/16/2013
Last updated
03/04/2014
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