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Individual

DR. AMANDA VENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
SAM HOUSTON STATE UNIVERSITY, 1901 AVENUE I, SUITE 290, HUNTSVILLE, TX 77341-0001
(936) 294-2436
(936) 294-2795
Mailing address
SAM HOUSTON STATE UNIVERSITY, PO BOX 2447, HUNTSVILLE, TX 77341-0001
(936) 294-2436
(936) 294-2795

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36450
TX

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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