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General NPI Number Information
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NPI Number | 1780196352
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Entity Type | Organization
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Legal Business Name | AMANDA SELLERS, PSY.D., LLC
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 121 N. CEDAR CREST BLVD. SUITE A
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City | ALLENTOWN
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State | PA
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Zip | 18104-4664
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Country | US
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Telephone | 484-809-0529
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Fax | 610-351-4124
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Provider Business Mailing Address
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Address Line | 121 N. CEDAR CREST BLVD. SUITE A
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City | ALLENTOWN
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State | PA
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Zip | 18104-4664
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Country | US
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Telephone | 484-809-0529
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Fax | 610-351-4124
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | DR. AMANDA SELLERS
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Credential | PSY.D.
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Telephone | 484-809-0529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018371
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License Number State | PA
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