Individual
DR. AMANDA DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
16237 VENTURA BLVD, ENCINO, CA 91436-2201
(818) 995-5000
Mailing address
1115 S ELM DR, #517, LOS ANGELES, CA 90035-1143
(310) 553-8061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20989
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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