Organization
MANDOLIN PSYCHOLOGICAL ASSESSMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LYN MCKINNEY PSY.D. (OWNER)
(815) 263-0919
Entity
Organization
Contact information
Practice address
1201 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1359
(765) 239-2347
Mailing address
6102 SILVERCREEK DR, WEST LAFAYETTE, IN 47906-8782
(815) 263-0919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043000A
IN
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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