Individual
AMANDA HARRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 E GALA ST, MERIDIAN, ID 83642-5209
(208) 955-7333
Mailing address
5 WESTWIND, LAGUNA NIGUEL, CA 92677-9238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/29/2022
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