Individual
AMANDA COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2515 OLD QUARRY RD APT 1314, SAN DIEGO, CA 92108-2759
(917) 975-6145
Mailing address
2515 OLD QUARRY RD APT 1314, SAN DIEGO, CA 92108-2759
(917) 975-6145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01710
RI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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