MEDICARE: DR. AMANDA STRUNIN PH.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	103TC0700X	Clinical Psychologist	PY8834	FL

General Provider Information

NPI Number	:	1225465727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA STRUNIN PH.D.

Provider Business Mailing Address
First Line	:	9526 NW 8TH CIR
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-4935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 MIDDLE RIVER DR
Second Line	:	SUITE 307
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3544
Country	:	US
Telephone Number	:	954-566-2166
Fax Number	:	954-566-1186

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

Provider Enumeration Date	:	09/30/2013
Last Update Date	:	09/30/2013

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Directions to “ DR. AMANDA STRUNIN PH.D.” Practice Location

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