Individual
MS. AMANDA MARIE HERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 S COLUMBIAN WAY, VA PUGET SOUND, SEATTLE, WA 98108-1565
(320) 766-1655
Mailing address
1600 S COLUMBIAN WAY, VA PUGET SOUND, SEATTLE, WA 98108-1565
(320) 766-1655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4338
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2009
Last updated
09/06/2013
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