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Provider Information for 1447408323

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

AMANDA LEE RAUF PSY.D.

Gender: FEMALE

Individual NPI: 1447408323

Calendar   Last Updated:  2012-04-03
  Certification Date: 

Details

Name Value
NPI 1447408323
Enumeration Date 2008-09-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 317 N MAIN ST
MANCHESTER, CT 06042-2007
United States

Phone: 860-643-2101 | Fax:
View Map External Link
Primary Practice Address 317 N MAIN ST
MANCHESTER, CT 06042-2007
United States

Phone: 860-643-2101 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 103TC2200X - Psychologist Clinical Child & Adolescent
No 103TF0000X - Psychologist Family