AMANDA JO KLINGENSMITH PH.D. - NPI 1689029290 - Psychologist in Plymouth, MI

Q: What is Amanda Klingensmith's NPI number?

The NPI number for Amanda Klingensmith is 1689029290. It was assigned to this individual provider in the NPPES registry on May 2, 2016. The provider is also known as Amanda Jo Koehn M.A..

Q: What is Amanda Klingensmith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Amanda Jo Klingensmith Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JO KLINGENSMITH PH.D. (NPI 1689029290) is an individual clinical provider in Plymouth, Michigan, licensed in Michigan (6301017379) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1689029290

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAMANDA JO KLINGENSMITHCredential: PH.D.

Location Address409 PLYMOUTH RD STE 250Plymouth, MI 48170-1842

Mailing Address409 Plymouth Rd Ste 250Plymouth, MI 48170-1842 · (734) 416-9098

Phone(734) 416-9098

Sole ProprietorNo

Enumeration DateMay 2, 2016

Last NPPES UpdateMay 10, 2018

✔ NPI 1689029290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301017379

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

409 PLYMOUTH RD STE 250, Plymouth, MI 48170

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Other Names 1

Former Name (1)Amanda Jo Koehn M.a.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS WARREN

Student in an Organized Health Care Education/Training Program