Amanda Lynn Durand, MS, LLP
Individual provider Active NPI Clinical Psychologist · Commerce Township, MI
NPI 1972632941 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972632941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301011153 (MI)
- Practice address
- 2045 E West Maple Rd
Suite D-407
Commerce Township, MI 48390-3801 - Phone
- (248) 624-3811
- Fax
- (248) 624-0368
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011153 | MI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301011153 | MI | Yes |
Addresses
Primary practice location
2045 E West Maple Rd
Suite D-407
Commerce Township, MI 48390-3801
Mailing address
114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 858-7766
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883825 | Medicaid | MI |
Other providers in Commerce Township, MI
- Nicole Denise Dorrell
- Megan Patricia Doulette
- Dr. Mark Kendall, D.C., P.C.
- Dr. Mary C. Milostan D C P C
- Dream Dental Sleep Institute PC
- E Gay Eye Care PLLC
- E3 Michigan
- William Charles Easton
- Kamran Ebadi
- Julie Ebbing-Lines
All providers in Commerce Township, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.