Amanda Anderson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Wilmington, DE
NPI 1902591985 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1902591985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- B1-0011371 (DE)
- Practice address
- 3411 Silverside Rd
Weldin BLDG, Ste 100
Wilmington, DE 19810 - Phone
- (484) 734-0745
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0011371 | DE | MD | Clinical Psychologist |
| PS019607 | PA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B1-0011371 | DE | Yes |
| Clinical Psychologist | 103TC0700X | PS019607 | PA |
Addresses
Primary practice location
3411 Silverside Rd
Weldin BLDG, Ste 100
Wilmington, DE 19810
Mailing address
3411 Silverside Rd
Weldin BLDG, Ste 100
Wilmington, DE 19810
Phone (484) 734-0745
Other practice location 1
1930 S Broad St Unit 11
Philadelphia, PA 19145-2328
Phone (484) 734-0745
Other providers in Wilmington, DE
- Anchor Residential Care, LLC
- Anchored in the Deep Counseling Services LLC
- Andels Home Care
- Carol Brumbalow Andersen
- Kathleen Tigue Andersen
- Ashley Anderson
- Carla Anderson
- Claudette Elizabeth Anderson
- Donna Maria Anderson
- Judith Anderson
All providers in Wilmington, DE · Clinical Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. 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.