Individual
AMANDA GRACE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
1307 22ND ST S, ARLINGTON, VA 22202-1559
(703) 963-0410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
08/20/2024
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