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Individual

AMANDA ROSE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
7001 UNIVERSITY BLVD, WINTER PARK, FL 32792
(407) 853-7700
(407) 853-7739
Mailing address
7001 UNIVERSITY BLVD, WINTER PARK, FL 32792-6719
(407) 853-7700
(407) 853-7739

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY10162
PSYCHOLOGY LICENSE
FL
Enumeration date
07/07/2015
Last updated
08/24/2021
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