MEDICARE: DR. AMANDA WALL 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053527705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA WALL PSY.D.

Provider Business Mailing Address
First Line	:	12745 MOORPARK ST
Second Line	:	#406
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-1379
Country	:	US
Telephone Number	:	310-926-1929
Fax Number	:

Provider Business Practice Location Address
First Line	:	3255 CAHUENGA BLVD W
Second Line	:	SUITE 208
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1375
Country	:	US
Telephone Number	:	310-926-1929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	01/25/2011

Similar Medicare Providers

1922632439 — MRS. BARBARA BENOUALID JD., LMFT
Practice Location Address:

3255 CAHUENGA BLVD W
LOS ANGELES, CA
90068-1375

Practice Phone: 323-327-3399
Practice Fax:

1356450514 — DR. WILLIAM HORAN PH.D.
Practice Location Address:

1375 MIDVALE AVE , #306
LOS ANGELES, CA
90024-5495

Practice Phone: 310-312-9977
Practice Fax:

1194962399 — RODDY S SOOFERIAN MD MEDICAL CORPORATION
Practice Location Address:

1375 KELTON AVE , #109
LOS ANGELES, CA
90024-5499

Practice Phone: 310-820-0013
Practice Fax: 310-207-2630

1033469911 — DR. NUSHKA KASSEM N.D, L.AC
Practice Location Address:

1375 E 6TH ST STE 4
LOS ANGELES, CA
90021-1251

Practice Phone: 213-327-4586
Practice Fax:

1548695406 — MARIANNE CHEN
Practice Location Address:

1375 MIDVALE AVE APT 210
LOS ANGELES, CA
90024-6260

Practice Phone: 415-971-6380
Practice Fax:

1609309236 — STELLA CHRISTINA STAVROU DDS
Practice Location Address:

1375 KELTON AVE APT 201
LOS ANGELES, CA
90024-7818

Practice Phone: 516-734-1681
Practice Fax:

Directions to “ DR. AMANDA WALL PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.