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Contact Information

AMANDA M CAMPOS, PSYD
2408 SCEPTER LN
HOOVER, AL35226-2902
 Phone: 205-370-5156
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AMANDA M CAMPOS · (Female)

NPI # 1104170240
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/26/2012
Last updated 07/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1996
  • CA Medicaid 01261511
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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