| NPI | 1023441607 |
|---|---|
| Former Legal Business Name | AMANDA WITHROW PH.D. |
| Entity Type | Organization |
| Authorized Contact | AMANDA WITHROW Owner/Sole Proprietor 408-596-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23529) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |