NPI 1164999421

Amanda Waggoner, PSYD

Practitioner Psychologist Arcadia, FL

Practice location

Address: 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752
Phone: (863) 494-1242
Mailing address: 700 8th Ave W STE 101, Palmetto, FL 34221-4737

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PY10240 (FL)

Other Psychologist providers in Florida →

Registry record

NPI: 1164999421
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2018
Record last updated: 25 Oct 2018

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.