MEDICARE: DR. AMANDA NORONA-ZHOU PHD

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	32619	CA

General Provider Information

NPI Number	:	1679978407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA NORONA-ZHOU PHD

Provider Business Mailing Address
First Line	:	3472 FLEETWOOD DR
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94803-2046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 FLEETWOOD DR
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94803-2046
Country	:	US
Telephone Number	:	510-255-1259
Fax Number	:

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

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	04/21/2023

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