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NPI Code Detail

MEDICARE: AMANDA SAINT-PHILIPPE

MEDICARE:   AMANDA  SAINT-PHILIPPE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1265089635
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SAINT-PHILIPPE
Provider Business Mailing Address
First Line : PO BOX 6686
Second Line :
City : LAKE WORTH
State : FL
Zip : 33466-6686
Country : US
Telephone Number : 561-414-5154
Fax Number :
Provider Business Practice Location Address
First Line : 8895 N MILITARY TRL STE 300C
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33410-6279
Country : US
Telephone Number : 561-244-9499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 08/21/2019

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Directions to “ AMANDA SAINT-PHILIPPE ” Practice Location

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