Amanda Lynne, PHD, LLC
Organization Active NPI Clinical Psychologist · Bloomington, IN
NPI 1043945835 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1043945835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AMANDA LYNNE, PHD, LLC
- Practice address
- 205 N College Ave Ste 314
Bloomington, IN 47404-3953 - Phone
- (812) 606-2919
- Fax
- (812) 901-6614
- NPI assigned
- Jul 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Lynne Quinby, PHD, HSPP
- Title
- Owner, Psychologist
- Phone
- (812) 606-2919
Practitioners 1
National Provider Directory
Locations
205 N College Ave
Ste 314
Bloomington, IN 47404
Phone (812) 606-2919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
205 N College Ave Ste 314
Bloomington, IN 47404-3953
Mailing address
205 N College Ave Ste 314
Bloomington, IN 47404-3953
Phone (812) 606-2919
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.