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NPI Code Detail

MEDICARE: AMANDA WISINGER PSYD

MEDICARE: AMANDA WISINGER PSYD
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
1101YP2500XProfessional Counselor178.014188IL
2103TR0400XRehabilitation PsychologistP.08860OH

General Provider Information

NPI Number : 1972088755
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WISINGER PSYD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-3830
Fax Number : 614-293-4870
Provider Business Practice Location Address
First Line : 480 MEDICAL CENTER DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1229
Country : US
Telephone Number : 614-293-3830
Fax Number : 614-293-4870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2018
Last Update Date : 02/17/2026

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Directions to “ AMANDA WISINGER PSYD” Practice Location

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