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Individual

AMANDA YODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701-4134
(714) 704-5900
Mailing address
200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701-4134
(714) 704-5900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103T00000X
PSYCHOLOGIST
CA
Enumeration date
07/15/2019
Last updated
07/15/2019
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