Provider Demographics
NPI:1205509320
Name:KAUFMANN, AMANDA (PHD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:KAUFMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:4450 S PARK AVE APT 1413
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3643
Mailing Address - Country:US
Mailing Address - Phone:203-722-6246
Mailing Address - Fax:
Practice Address - Street 1:4450 S PARK AVE APT 1413
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3643
Practice Address - Country:US
Practice Address - Phone:202-780-9934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist