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General NPI Number Information
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NPI Number | 1336900232
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Entity Type | Individual
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Provider Name | AMY MANNER MA, CAS, NCSP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 10910 CLARKSVILLE PIKE
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6106
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Country | US
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Telephone | 410-530-4203
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 BENFIELD BLVD STE J
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City | MILLERSVILLE
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State | MD
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Zip | 21108-2645
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Country | US
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Telephone |
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Fax |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State | MD
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