Search › Washington › 101YA0400X
Amanda Black, SUDPT
NPI 1538941273 · on the registry since 2023
Practice
- Address
- 230 E State St
Mossyrock, WA 98564 - Phone
- (360) 266-5585
- Fax
- (360) 262-6620
- Organisation at this address
- Eugenia Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington