Provider Demographics
NPI:1598852204
Name:TOLAND, AMANDA EWART (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:EWART
Last Name:TOLAND
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:420 W 12TH AVE
Mailing Address - Street 2:440 TMRF
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-2208
Mailing Address - Country:US
Mailing Address - Phone:614-247-8185
Mailing Address - Fax:614-688-4761
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:8TH FLOOR MMMP
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-6694
Practice Address - Fax:614-293-2314
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics