Individual
DR. AMANDA CONFORTO RIISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017729
PA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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