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Individual

DR. AMANDA L SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
121 N CEDAR CREST BLVD STE A, ALLENTOWN, PA 18104
(484) 809-0529
Mailing address
121 N CEDAR CREST BLVD STE A, ALLENTOWN, PA 18104-4664
(484) 809-0529

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018371
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS018371
PSYCHOLOGY LICENSE
PA
Enumeration date
10/13/2017
Last updated
08/23/2019
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