Individual
DR. AMANDA TANNER BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9434
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016322
PA
Other
Enumeration date
08/24/2007
Last updated
02/08/2016
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