Individual
DR. AMAR D MANDAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(251) 545-8569
Mailing address
1545 GLENHAVEN WAY, LAWRENCEVILLE, GA 30043-4938
(251) 545-8569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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