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Individual

AMANDA WISINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
480 MEDICAL CENTER DR, COLUMBUS, OH 43210-1229
(614) 293-3830
(614) 293-4870
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3830
(614) 293-4870

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.014188
IL
103G00000X
Clinical Neuropsychologist
Primary
P.08860
OH
103TR0400X
Rehabilitation Psychologist
Primary
P.08860
OH

Other

Enumeration date
09/27/2018
Last updated
02/17/2026
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