Moreno, Amanda
Moreno, Amanda is an individual health care provider with primary practice located at California Mens Colony Highway 1, San Luis Obispo CA 93409-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moreno, Amanda can be contacted via phone (805) 547-7900.Contact Information
Primary practice address
California Mens Colony Highway 1
San Luis Obispo CA 93409-0001
Phone: (805) 547-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | California | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 31063 | California |
Profile Details
| NPI number | 1336504687 |
|---|---|
| LBN Legal business name | Moreno, Amanda |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2015 |
| Last updated | Dec 15th, 2023 - 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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