| Doctor Name: | MS. AMANDA GILMORE |
| NPI Number: | 1013314772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.S |
| License Number: | OH3029826 |
| Business Practice Address: | 1175 Hudson Rd Kent, OH - 442402109 |
| Business Phone Number: | 3306768627 |
| Business Fax Number: | |
| Mailing Address: | 202 New Castle Dr, AURORA |
| State: | OH |
| Postal Code: | 442026729 |
| Phone Number: | 5132670570 |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2014 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | OH3029826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |