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
Phone: (631) 533-2708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144520768 | NPPES |
| New York | Other | A300066521 | MEDICARE PTAN |
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