Thompson, Amanda L

Thompson, Amanda L is an individual health care provider with primary practice located at 8081 Innovation Park Dr Ste 2201 , Fairfax VA 22031-4867. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Thompson, Amanda L can be contacted via phone (571) 472-0767.

Contact Information

Primary practice address
8081 Innovation Park Dr Ste 2201 Fairfax VA 22031-4867
Phone: (571) 472-0767
Fax: (571) 472-0377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY1000568 District of Columbia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810004239 Virginia

Profile Details

NPI number 1760614705
LBN Legal business name Thompson, Amanda L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2009
Last updated Apr 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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