Organization
AMANDA SUN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA YUAN SUN MD (PSYCHIATRIST)
(425) 233-9573
Entity
Organization
Contact information
Practice address
1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
(425) 233-9573
Mailing address
1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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