Individual
DR. AMANDA SUSANNE WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 LILLY RD NE STE 250, OLYMPIA, WA 98506-5101
(541) 386-3911
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
42508
KY
2084P0800X
Psychiatry Physician
Primary
MD61407506
WA
2084P0800X
Psychiatry Physician
N9329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282852701
—
TX
Enumeration date
02/07/2007
Last updated
06/12/2023
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