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NPI Code Detail

MEDICARE: DR. AMANDA AKERS PSY.D.

MEDICARE: DR. AMANDA AKERS PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY003907GA
2103TC0700XClinical Psychologist290448KY

General Provider Information

NPI Number : 1083098974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA AKERS PSY.D.
Provider Business Mailing Address
First Line : 830 N WILSON AVE
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1164
Country : US
Telephone Number : 912-421-9050
Fax Number : 912-623-4918
Provider Business Practice Location Address
First Line : 3499 BLAZER PKWY STE 330
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2828
Country : US
Telephone Number : 912-421-9050
Fax Number : 912-623-4918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 03/03/2025

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