Individual
DR. AMANDA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 PRISON ROAD, ESTILL, SC 29918
(803) 625-4607
(803) 625-5262
Mailing address
POST OFFICE BOX 699, 100 PRISON ROAD, ESTILL, SC 29918
(803) 625-4607
(803) 625-5262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS017457
BOARD OF PSYCHOLOGY LICENSE NUMBER
PA
Enumeration date
02/20/2017
Last updated
02/20/2017
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