Healthcare Provider Details

I. General information

NPI: 1760685630
Provider Name (Legal Business Name): AMANDA V TURNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 KIRMAN AVE
RENO NV
89502-0997
US

IV. Provider business mailing address

975 KIRMAN AVE
RENO NV
89502-0997
US

V. Phone/Fax

Practice location:
  • Phone: 775-326-2920
  • Fax: 775-334-3022
Mailing address:
  • Phone: 775-326-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8211-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: