NPI 1003116112

Amanda D Ball, PSYD

Practitioner Clinical Psychologist Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
Mailing address: 1400 SW 5th Ave STE 500, Portland, OR 97201-5537

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2685 (OR)

Other Psychologist providers in Oregon →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Oregon →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071008473 (IL)

Registry record

NPI: 1003116112
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2010
Record last updated: 11 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.