Individual
AMANDA ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 S WADSWORTH BLVD STE C3096, LAKEWOOD, CO 80226-4328
(914) 620-2405
Mailing address
1090 S WADSWORTH BLVD STE C, LAKEWOOD, CO 80226-4350
(914) 620-2405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0006408
CO
Other
Enumeration date
07/19/2018
Last updated
04/27/2024
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