Grodewald-Adler, Amanda Lea

Grodewald-Adler, Amanda Lea is an individual health care provider with primary practice located at 33 Walt Whitman Rd Ste 240W , Huntington Station NY 11746-3640. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Grodewald-Adler, Amanda Lea can be contacted via phone (631) 533-2708.

Contact Information

Primary practice address
33 Walt Whitman Rd Ste 240W Huntington Station NY 11746-3640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X P77977 New York

Profile Details

NPI number 1144520768
LBN Legal business name Grodewald-Adler, Amanda Lea
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2010
Last updated Sep 15th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1144520768 NPPES
New York Other A300066521 MEDICARE PTAN

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