Doctor Name: | DR. AMANDA FRANCES MOATES |
NPI Number: | 1548531957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 35197 |
Business Practice Address: | 4201 Spring Valley Rd Ste 1100 Dallas, TX - 752443631 |
Business Phone Number: | 9724048325 |
Business Fax Number: | 9724048326 |
Mailing Address: | 4201 Spring Valley Rd, Ste 1100 DALLAS |
State: | TX |
Postal Code: | 752443631 |
Phone Number: | 9724048325 |
Fax Number: | 9724048326 |
NPI Enumeration Date: | 01/17/2012 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 35197 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |