Individual
AMANDA M MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(402) 498-3358
(402) 498-3375
Mailing address
4801 SARGENT RD NE, WASHINGTON, DC 20017-2841
(202) 650-6361
(202) 650-6362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005829
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026251000
—
NE
05
—
47037660631
—
NE
Enumeration date
08/04/2008
Last updated
10/25/2017
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