Individual
AMANDA HETERBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CAS, NCSP
Contact information
Practice address
940 OLD BUSH RIVER RD, CHAPIN, SC 29036-8102
(803) 575-5929
Mailing address
940 OLD BUSH RIVER RD, CHAPIN, SC 29036-8102
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
268355
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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