Individual
MS. AMANDA J WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Mailing address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0757
KY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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