| Doctor Name: | MS. AMANDA HEARN |
| NPI Number: | 1437478815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CAGS, NCSP |
| License Number: | 0803000236 |
| Business Practice Address: | 46179 Westlake Dr Suite 330 Potomac Falls, VA - 201655874 |
| Business Phone Number: | 7033145267 |
| Business Fax Number: | |
| Mailing Address: | 46179 Westlake Dr, Suite 330 POTOMAC FALLS |
| State: | VA |
| Postal Code: | 201655874 |
| Phone Number: | 7033145267 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2010 |
| NPI Last Update Date: | 05/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 0803000236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |