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NPI Code Detail

MEDICARE: AMANDA MARIE DAWSON

MEDICARE: AMANDA MARIE DAWSON
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
1103T00000XPsychologistPSYA.PG.70102584WA

General Provider Information

NPI Number : 1952243206
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE DAWSON
Provider Business Mailing Address
First Line : 12407 10TH LN SW
Second Line :
City : SEATTLE
State : WA
Zip : 98146-2798
Country : US
Telephone Number : 206-850-4404
Fax Number :
Provider Business Practice Location Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-569-8557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ AMANDA MARIE DAWSON ” Practice Location

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