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General NPI Number Information
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NPI Number | 1215206040
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Entity Type | Individual
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Provider Name | AMANDA H HOWARD PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1048 OLD 441 N
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City | CLAYTON
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State | GA
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Zip | 30525-4281
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Country | US
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Telephone | 706-521-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 851 HIGHWAY 441 S STE 105
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City | CLAYTON
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State | GA
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Zip | 30525-6264
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Country | US
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Telephone | 706-782-1237
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Fax | 404-393-0737
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY003905
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License Number State | GA
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