Provider Demographics
NPI:1659926533
Name:KLINGER, AMANDA M (MA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:KLINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 ARBUCKLE CMNS STE 248
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1798
Mailing Address - Country:US
Mailing Address - Phone:317-883-7360
Mailing Address - Fax:
Practice Address - Street 1:7230 ARBUCKLE CMNS STE 248
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1798
Practice Address - Country:US
Practice Address - Phone:317-883-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39004457A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health